NUR 172 FINAL EXAM LATEST ACTUAL EXAM TEST BANK
What is thrombocytopenia? - ANSWER: low platelet count
What are granulocytes? - ANSWER: neutrophils, eosinophils, basophils ( Big takeway
is that they are WBC's)
Teaching for Iron supplements - ANSWER: -Take on an empty stomach
- Take 1-2 hours before meal
- Can turn front teeth red
Cancer - patient teaching regarding social interaction and precautions - ANSWER: -
Wash hands
- Wear a mask
- Limit interaction too less than 30 minutes
Difference between chemotherapy and radiation - ANSWER: - Chemotherapy
spreads throughout the whole body and kills everything
- Radiation is localized.
What stage is HIV declared AIDS? - ANSWER: Stage 3
Normal vs AIDS CD4 Levels - ANSWER: When the CD4 count drops below 200, a
person is diagnosed with AIDS. A normal range for CD4 cells is about 700-1,000
Define acquired immunity - ANSWER: An immunity that develops before birth and
throughout the lifetime of the individual
Digoxin (Lanoxin) - teaching, levels, and OD symptoms - ANSWER: - contact health
care professional before taking medication if pulse rate is <60 or >100.
- Watch levels normal 0.8-2.0
- Toxicity symptoms include nausea, vomiting, abdominal pain
What is MCV? - ANSWER: mean corpuscular volume. There are three main types of
corpuscles (blood cells) in your blood-red blood cells, white blood cells, and
platelets.
Normal MCV range - ANSWER: 80-100
MCV > 100 means what? - ANSWER: Macrocytic anemia. Common causes include;
B12 deficiency, Folic acid deficiency, EtOH abuse, or liver disease
What lab is tested to determine anemia? What are the normal M/F levels for
anemia? - ANSWER: Hemoglobin
Male <13
, Female <12
MCV is between 80-100, what is your next step? If this test is greater than 1.3 what
are you thinking? - ANSWER: Check creatinine. If creatinine > 1.3 you need a renal
consult for CKD
MCV is < 80 what is your next step? What do you do if these two tests come back
low? - ANSWER: Iron studies:
Ferritin (is a protein that contains iron and is the primary form of iron stored inside
of cells) <15 ng/ml
TSTAT ( you get this by dividing the serum iron level by the total iron-binding
capacity. The total iron-binding capacity correlates with circulating transferrin, which
is the major iron-binding protein in plasma.) < 20%
LOW -
* Give iron supplements (IV or PO)
* Consider EPO is surgery anticipated
* Treat cause if iron deficiency anemia is confirmed.
Examples; GI blood loss, menorrhagia, pregnancy, insufficient intake.
MCV > 100 what is your next step? - ANSWER: Assess for;
B12 deficiency
Folate dificiency
EtoH abuse
Liver disease
Hypothyroidism
MCV is 85 and the creatinine is 1.2. What is your next thought as a nurse? - ANSWER:
is the reticulocyte (baby RBC without a nucleus) normal?
MCV is 85, creatinine is 1.2, and the reticulocyte count is normal between 0.5-1.5%.
What is your next thought as the nurse? What do you need too rule out? - ANSWER:
Rule out blood loss
Rule out hemolysis
Iron
Consider EPO
MCV is 85, creatinine is 1.2, and the reticulocyte count is 0.2%. What are you
evaluating for? How is this normally treated? - ANSWER: Anemia of a chronic disease
* TSTAT <20
* Decrease in RBC lifespan
*Treat underlying disease
* Consider EPO/iron
*RBC transfusion PRN
What is thrombocytopenia? - ANSWER: low platelet count
What are granulocytes? - ANSWER: neutrophils, eosinophils, basophils ( Big takeway
is that they are WBC's)
Teaching for Iron supplements - ANSWER: -Take on an empty stomach
- Take 1-2 hours before meal
- Can turn front teeth red
Cancer - patient teaching regarding social interaction and precautions - ANSWER: -
Wash hands
- Wear a mask
- Limit interaction too less than 30 minutes
Difference between chemotherapy and radiation - ANSWER: - Chemotherapy
spreads throughout the whole body and kills everything
- Radiation is localized.
What stage is HIV declared AIDS? - ANSWER: Stage 3
Normal vs AIDS CD4 Levels - ANSWER: When the CD4 count drops below 200, a
person is diagnosed with AIDS. A normal range for CD4 cells is about 700-1,000
Define acquired immunity - ANSWER: An immunity that develops before birth and
throughout the lifetime of the individual
Digoxin (Lanoxin) - teaching, levels, and OD symptoms - ANSWER: - contact health
care professional before taking medication if pulse rate is <60 or >100.
- Watch levels normal 0.8-2.0
- Toxicity symptoms include nausea, vomiting, abdominal pain
What is MCV? - ANSWER: mean corpuscular volume. There are three main types of
corpuscles (blood cells) in your blood-red blood cells, white blood cells, and
platelets.
Normal MCV range - ANSWER: 80-100
MCV > 100 means what? - ANSWER: Macrocytic anemia. Common causes include;
B12 deficiency, Folic acid deficiency, EtOH abuse, or liver disease
What lab is tested to determine anemia? What are the normal M/F levels for
anemia? - ANSWER: Hemoglobin
Male <13
, Female <12
MCV is between 80-100, what is your next step? If this test is greater than 1.3 what
are you thinking? - ANSWER: Check creatinine. If creatinine > 1.3 you need a renal
consult for CKD
MCV is < 80 what is your next step? What do you do if these two tests come back
low? - ANSWER: Iron studies:
Ferritin (is a protein that contains iron and is the primary form of iron stored inside
of cells) <15 ng/ml
TSTAT ( you get this by dividing the serum iron level by the total iron-binding
capacity. The total iron-binding capacity correlates with circulating transferrin, which
is the major iron-binding protein in plasma.) < 20%
LOW -
* Give iron supplements (IV or PO)
* Consider EPO is surgery anticipated
* Treat cause if iron deficiency anemia is confirmed.
Examples; GI blood loss, menorrhagia, pregnancy, insufficient intake.
MCV > 100 what is your next step? - ANSWER: Assess for;
B12 deficiency
Folate dificiency
EtoH abuse
Liver disease
Hypothyroidism
MCV is 85 and the creatinine is 1.2. What is your next thought as a nurse? - ANSWER:
is the reticulocyte (baby RBC without a nucleus) normal?
MCV is 85, creatinine is 1.2, and the reticulocyte count is normal between 0.5-1.5%.
What is your next thought as the nurse? What do you need too rule out? - ANSWER:
Rule out blood loss
Rule out hemolysis
Iron
Consider EPO
MCV is 85, creatinine is 1.2, and the reticulocyte count is 0.2%. What are you
evaluating for? How is this normally treated? - ANSWER: Anemia of a chronic disease
* TSTAT <20
* Decrease in RBC lifespan
*Treat underlying disease
* Consider EPO/iron
*RBC transfusion PRN
