NRl 324/l NR324l Examl 2:l Adultl Healthl Il
Guidel (Latestl 2026/l 2027l Update)l |l Qsl
&l As|l Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
QUESTION
Whatl isl thel onlyl anti-sicklingl agentl shownl tol bel clinicallyl beneficial
Answer:
Hydrea
QUESTION
Ironl overloadl disorder
Answer:
Hemochromatosis
-primarilyl causedl byl al geneticl defect
-mayl occurl secondaryl tol otherl diseases
-Geneticl link
--increasedl intestionall absorption
--increasedl tissuel ironl deposition
QUESTION
Thrombocytopenia
Answer:
Reductionl ofl platelets
-resultsl inl abnormall hemostasis
--prolongedl orl spontaneousl bleeding
Primarilyl anl acquiredl disorder
--commonlyl froml ingestionl ofl highl dosesl ofl certainl drugs
QUESTION
,Causesl ofl thrombocytopenia
Answer:
•Inherited
•Acquired
-Immunel Thrombocytopenial purpural (ITP)
-Thromboticl Thrombocytopenial purpural (TTP)**medicall emergency**
-Heparin-inducedl Thrombocytopenial (HIT)
QUESTION
Thrombocytopenial clinicall manifestations
Answer:
Prolongedl bleedingl afterl routinel proceduresl
--internall bleedingl mayl manifestl asl weakness
QUESTION
Diagnosticl testl forl thrombocytopenia
Answer:
Lowl plateletl countl
--prolongedl bleedingl <l 50,000
--hemorrhagel decreasel 20,000
Labl testsl forl hemostasisl andl coagulationl mayl bel normal
Bonel marrowl examl canl identifyl productionl problemsl asl thel cause
Specificl assaysl canl assist
QUESTION
Acutel carel ofl thrombocytopenia
Answer:
Preventl orl controll hemorrhage
Bleedingl usuallyl beginsl superficially
Anyl bleedingl needsl evaluationl andl treatment
Watchl forl bleedingl thatl canl bel difficultl tol detect
Avoidl IMl injections
Ifl subcutaneousl injectionl isl
Closelyl monitorl plateletl countl ,l coagulationl studies,l Hgb,l andl Hct
,Managel bloodl lossl froml excessivel menstruall bleeding
QUESTION
Nursingl Implementationl ofl thrombocytopenia
Answer:
Administerl plateletl transfusion
Bloodl componentl therapyl isl frequentlyl usedl
Ambulatoryl care:l -monitorl ptsl forl responsel tol therapy
-teachl avoidancel ofl causativel agents,l trauma,l andl injury
-teachl clinicall S/Sl ofl bleeding
-encouragel regularl medicall exams
-managel qualityl ofl lifel issues
QUESTION
Leukemia
Answer:
Al groupl ofl malignantl disordersl affectingl thel bloodl andl blood-formingl tissuesl ofl
-bonel marrow
-lymphl system
-spleen
QUESTION
Leukemial assessment
Answer:
Assessment:l fatigue,l weakness,l pallor,l anemia,l thrombocytopenia,l hepatosplenomegaly,l
neutropenia
Diagnostic:l CBC,l peripherall bloodl evaluation,l bonel marrowl examination,l CTl scan,l
lumbarl puncturel (cellsl outsidel ofl bone/bonel marrow)
Nursingl diagnosis:l activityl intolerancel R/Tl generalizedl weakness
Management:l chemotherapy,l radiation,l corticosteroids,l steml celll transplantation,l education,l
psychosociall support
QUESTION
Stepsl forl CPR
, Answer:
Assess
•l Determinel unresponsiveness:l tapl orl shakel victim'sl shoulder;l shout,l "Arel youl alll right?"
•l Checkl forl nol breathingl orl abnormall breathingl (e.g.,l gasping)l whilel simultaneouslyl
performingl al pulsel checkl (5-10l sec).
Activatel Emergencyl Responsel Systeml (ERS)
•l Activatel ERSl (e.g.,l calll 911)l andl getl thel AEDl (ifl available)l (outsidel ofl hospital).
•l Calll al codel andl askl forl thel AEDl orl crashl cartl (inl hospital).
Beginl High-Qualityl CPR
•l Ifl victiml hasl al pulsel butl isl notl breathingl orl notl breathingl adequately,l beginl rescuel
breathingl atl al ratel ofl 1l breathl everyl 5-6l secl andl recheckl thel pulsel everyl 2l minutes.*
•l Ifl therel isl nol pulse,l exposel thel victim'sl chestl andl immediatelyl beginl chestl
compressionsl
•l Deliverl compressionsl atl al ratel ofl 100-120/minute.
•l Compressl thel chestl atl leastl 2l inchesl (5l cm)l butl notl greaterl thanl 2.4l inchesl (6l cm).
•l Allowl forl completel chestl recoill afterl eachl compression.
•l Deliverl al compression-ventilationl ratiol ofl 30l compressionsl tol 2l breaths.†
•l Minimizel interruptionsl inl compressionsl byl deliveringl thel 2l breathsl inl <10l sec.
Deliverl Effectivel Breaths
•l Openl airwayl adequatelyl
•l Deliverl breathl tol producel al visiblel chestl risel
•l Avoidl excessivel ventilation.
Integratel Promptl Usel ofl thel AED
•l Usel AEDl asl soonl asl possible.
•l Ifl rhythml isl shockable,l deliverl onel shockl andl thenl resumel chestl compressionsl
immediatelyl afterl deliveryl ofl shock.
•l Ifl thel rhythml isl notl shockable,l resumel CPRl andl recheckl rhythml everyl fivel cycles.
Continuel CPR
•l Continuel CPRl betweenl rhythml checksl andl shocks,l andl untill ACLSl providersl arrivel
orl thel victiml showsl signsl ofl movement.
QUESTION
Medicationsl forl thrombocytopenia
Answer:
-Avoidl aspirinl andl otherl medsl thatl affectl plateletl function
-Corticosteroids
-IVl immunoglobulinl andl anti-Rh
-Rituximab
Guidel (Latestl 2026/l 2027l Update)l |l Qsl
&l As|l Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
QUESTION
Whatl isl thel onlyl anti-sicklingl agentl shownl tol bel clinicallyl beneficial
Answer:
Hydrea
QUESTION
Ironl overloadl disorder
Answer:
Hemochromatosis
-primarilyl causedl byl al geneticl defect
-mayl occurl secondaryl tol otherl diseases
-Geneticl link
--increasedl intestionall absorption
--increasedl tissuel ironl deposition
QUESTION
Thrombocytopenia
Answer:
Reductionl ofl platelets
-resultsl inl abnormall hemostasis
--prolongedl orl spontaneousl bleeding
Primarilyl anl acquiredl disorder
--commonlyl froml ingestionl ofl highl dosesl ofl certainl drugs
QUESTION
,Causesl ofl thrombocytopenia
Answer:
•Inherited
•Acquired
-Immunel Thrombocytopenial purpural (ITP)
-Thromboticl Thrombocytopenial purpural (TTP)**medicall emergency**
-Heparin-inducedl Thrombocytopenial (HIT)
QUESTION
Thrombocytopenial clinicall manifestations
Answer:
Prolongedl bleedingl afterl routinel proceduresl
--internall bleedingl mayl manifestl asl weakness
QUESTION
Diagnosticl testl forl thrombocytopenia
Answer:
Lowl plateletl countl
--prolongedl bleedingl <l 50,000
--hemorrhagel decreasel 20,000
Labl testsl forl hemostasisl andl coagulationl mayl bel normal
Bonel marrowl examl canl identifyl productionl problemsl asl thel cause
Specificl assaysl canl assist
QUESTION
Acutel carel ofl thrombocytopenia
Answer:
Preventl orl controll hemorrhage
Bleedingl usuallyl beginsl superficially
Anyl bleedingl needsl evaluationl andl treatment
Watchl forl bleedingl thatl canl bel difficultl tol detect
Avoidl IMl injections
Ifl subcutaneousl injectionl isl
Closelyl monitorl plateletl countl ,l coagulationl studies,l Hgb,l andl Hct
,Managel bloodl lossl froml excessivel menstruall bleeding
QUESTION
Nursingl Implementationl ofl thrombocytopenia
Answer:
Administerl plateletl transfusion
Bloodl componentl therapyl isl frequentlyl usedl
Ambulatoryl care:l -monitorl ptsl forl responsel tol therapy
-teachl avoidancel ofl causativel agents,l trauma,l andl injury
-teachl clinicall S/Sl ofl bleeding
-encouragel regularl medicall exams
-managel qualityl ofl lifel issues
QUESTION
Leukemia
Answer:
Al groupl ofl malignantl disordersl affectingl thel bloodl andl blood-formingl tissuesl ofl
-bonel marrow
-lymphl system
-spleen
QUESTION
Leukemial assessment
Answer:
Assessment:l fatigue,l weakness,l pallor,l anemia,l thrombocytopenia,l hepatosplenomegaly,l
neutropenia
Diagnostic:l CBC,l peripherall bloodl evaluation,l bonel marrowl examination,l CTl scan,l
lumbarl puncturel (cellsl outsidel ofl bone/bonel marrow)
Nursingl diagnosis:l activityl intolerancel R/Tl generalizedl weakness
Management:l chemotherapy,l radiation,l corticosteroids,l steml celll transplantation,l education,l
psychosociall support
QUESTION
Stepsl forl CPR
, Answer:
Assess
•l Determinel unresponsiveness:l tapl orl shakel victim'sl shoulder;l shout,l "Arel youl alll right?"
•l Checkl forl nol breathingl orl abnormall breathingl (e.g.,l gasping)l whilel simultaneouslyl
performingl al pulsel checkl (5-10l sec).
Activatel Emergencyl Responsel Systeml (ERS)
•l Activatel ERSl (e.g.,l calll 911)l andl getl thel AEDl (ifl available)l (outsidel ofl hospital).
•l Calll al codel andl askl forl thel AEDl orl crashl cartl (inl hospital).
Beginl High-Qualityl CPR
•l Ifl victiml hasl al pulsel butl isl notl breathingl orl notl breathingl adequately,l beginl rescuel
breathingl atl al ratel ofl 1l breathl everyl 5-6l secl andl recheckl thel pulsel everyl 2l minutes.*
•l Ifl therel isl nol pulse,l exposel thel victim'sl chestl andl immediatelyl beginl chestl
compressionsl
•l Deliverl compressionsl atl al ratel ofl 100-120/minute.
•l Compressl thel chestl atl leastl 2l inchesl (5l cm)l butl notl greaterl thanl 2.4l inchesl (6l cm).
•l Allowl forl completel chestl recoill afterl eachl compression.
•l Deliverl al compression-ventilationl ratiol ofl 30l compressionsl tol 2l breaths.†
•l Minimizel interruptionsl inl compressionsl byl deliveringl thel 2l breathsl inl <10l sec.
Deliverl Effectivel Breaths
•l Openl airwayl adequatelyl
•l Deliverl breathl tol producel al visiblel chestl risel
•l Avoidl excessivel ventilation.
Integratel Promptl Usel ofl thel AED
•l Usel AEDl asl soonl asl possible.
•l Ifl rhythml isl shockable,l deliverl onel shockl andl thenl resumel chestl compressionsl
immediatelyl afterl deliveryl ofl shock.
•l Ifl thel rhythml isl notl shockable,l resumel CPRl andl recheckl rhythml everyl fivel cycles.
Continuel CPR
•l Continuel CPRl betweenl rhythml checksl andl shocks,l andl untill ACLSl providersl arrivel
orl thel victiml showsl signsl ofl movement.
QUESTION
Medicationsl forl thrombocytopenia
Answer:
-Avoidl aspirinl andl otherl medsl thatl affectl plateletl function
-Corticosteroids
-IVl immunoglobulinl andl anti-Rh
-Rituximab
