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NUR 2356 FINAL PAPER SOLVED
QUESTIONS WITH FULL PRACTICE
SOLUTION

●● 4 Main components of blood composition
Answer: RBC, WBC, platelets, plasma


●● What is the composition of plasma
Answer: 90% H2O
10% solutes - glucose, protein, albumin, hormones, etc


●● Where is bone marrow aspiration in infants?
Answer: Tibia


●● Where is bone marrow aspiration in toddlers and preschoolers?
Answer: femur and tibia


●● Where is bone marrow aspiration in children over 5?
Answer: pelvis (iliac crest)


●● Where is bone marrow production in young adults/adults?

,Answer: ribs, sternum, vertebra, pelvis, skull, clavicle, scapula


●● what is anemia
Answer: a condition in which levels of red blood cells and hemoglobin
are lower than normal


●● 4 types of anemia
Answer: Iron deficiency
lead poisoning
sickle cell
B-thalassemia


●● Define iron deficiency anemia
Answer: reduction in the iron stores of the body causing an inadequate
production of hemoglobin


●● What is iron needed for?
Answer: to make hgb


●● signs and symptoms of iron deficiency anemia
Answer: pallor
tachycardia
tachypnea

,lethargy
fatigue
irritability


●● Why are neonates at risk for iron deficiency anemia?
Answer: -lack the maternal iron stores
-Full term infants have maternal iron stores until approximately 6
months of age
-Havent had the time in utero to store up the needed iron supply
(preterm)


●● How can you treat a neonate with iron deficiency anemia?
Answer: Iron fortified formula


●● What are risk factors for iron deficiency anemia in infants and
children?
Answer: 1.inadequate iron intake
2.Malabsorption of iron in GI tract
3.Chronic blood loss


●● Food with good sources of iron

, Answer: red meat, egg yolk, leafy greens, dried fruits, fortified
cereals/formulas, beef, chicken, fish, beans, nuts, seeds, peanut butter,
eggs, prunes, whole grain bread


●● How is iron deficiency anemia diagnosed?
Answer: Serum lab evaluation:
-Red blood cell count = microcytic (small) and hypo chronic (pale in
color)
-low hemoglobin
-low hematocrit
-low reticulocyte count
-low serum iron concentration
-high total iron binding capacity


●● What is the goal of treatment for iron deficiency anemia
Answer: treat medical problem causing malabsorption or blood loss/
identify cause


●● What is the treatment method for iron deficiency anemia?
Answer: Increase iron take
~ Dietary sources
~Medication supplement (ferrosol or ferrous sulfate)

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