HOSMERIT
NUR 195 EXAM 2 QUESTIONS AND CORRECT
ANSWERS LATEST GRADE A+
An immune response mediated by cytotoxic T-cells that targets the cells in bone
barrow causing cell death describes which anemia?
~~~ Aplastic
What laboratory findings would the nurse expect to find in a patient with aplastic
anemia?
~~~ Decreased WBCs, Hgb, Hct & platelets
What are some examples of treatment for patients with Aplastic anemia?
~~~ Immunosuppressive therapy & Stem cell transplantation
Laboratory findings expected in a patient with anemia due to blood loss include?
~~~ normal then decreasing Hgb, Hct & MCV; decreased iron
What is the expected treatment for blood loss?
~~~ Packed RBC transfusion
Autoimmune hemolytic anemia causes what to blood cells?
,~~~ hemolysis
Where does hemolytic anemia occur?
~~~ vessels & lymphoid tissue
What medication would the nurse anticipate administering to a patient with hemolytic anemia?
~~~ corticosteroids
What is anticipated in the treatment of sickle cell anemia?
~~~ Packed RBCs, monitor for iron overload, hydroxyurea
What cardiovascular signs occur with anemia?
~~~ palpitations, tachycardia, hypotension, peripheral edema, murmurs
What are important neurologic symptoms in a patient with anemia?
~~~ numbness & tingling, irritability, headache, confusion, disturbed gait, ringing of the ears
What is the most important integument condition to assess for in a patient with
anemia?
~~~ Pallor (conjunctiva, palms)
What integumentary finding is a sign f hemolytic anemia?
,~~~ Jaundice
A beefy, red, sore tongue is a sign of what?
~~~ Folic acid deficiency
A smooth red tongue is a sign of what?
~~~ iron deficiency
List the respiratory S/S pointing to anemia.
~~~ dyspnea, tachypnea, orthopnea
What GI disturbances occur with anemia?
~~~ N/V/D, anorexia, dysphagia, hepatomegaly, splenomegaly
True/False: muscle pain occurs with anemia.
~~~ True
What conditions are CBC values used for?
~~~ leukemia, blood cell disorders
What is a colonoscopy used for in a patient with anemia?
~~~ To assess for a GI bleed, malignancy, growths
, What considerations are most important in patients with acute blood loss & severe
hemolysis?
~~~ decreased perfusion
What is the expected treatment for blood loss & severe hemolysis?
~~~ blood transfusions and IV fluids; acute O2 therapy
What medications should be withheld or adjusted in a patient with acute blood loss?
~~~ antihypertensives
What are complications of severe anemia?
~~~ heart failure, paresthesias, confusion
What are the hypoproliferative anemias?
~~~ Iron deficient, anemia in KD, chronic disease, & megaloblastic
Iron deficient anemia is a cytic anemia.
~~~ micro
Iron deficient anemia sees laboratory values of transferrin below % and ferritin
below ng/mL.
~~~ 20%:30ng/mL
NUR 195 EXAM 2 QUESTIONS AND CORRECT
ANSWERS LATEST GRADE A+
An immune response mediated by cytotoxic T-cells that targets the cells in bone
barrow causing cell death describes which anemia?
~~~ Aplastic
What laboratory findings would the nurse expect to find in a patient with aplastic
anemia?
~~~ Decreased WBCs, Hgb, Hct & platelets
What are some examples of treatment for patients with Aplastic anemia?
~~~ Immunosuppressive therapy & Stem cell transplantation
Laboratory findings expected in a patient with anemia due to blood loss include?
~~~ normal then decreasing Hgb, Hct & MCV; decreased iron
What is the expected treatment for blood loss?
~~~ Packed RBC transfusion
Autoimmune hemolytic anemia causes what to blood cells?
,~~~ hemolysis
Where does hemolytic anemia occur?
~~~ vessels & lymphoid tissue
What medication would the nurse anticipate administering to a patient with hemolytic anemia?
~~~ corticosteroids
What is anticipated in the treatment of sickle cell anemia?
~~~ Packed RBCs, monitor for iron overload, hydroxyurea
What cardiovascular signs occur with anemia?
~~~ palpitations, tachycardia, hypotension, peripheral edema, murmurs
What are important neurologic symptoms in a patient with anemia?
~~~ numbness & tingling, irritability, headache, confusion, disturbed gait, ringing of the ears
What is the most important integument condition to assess for in a patient with
anemia?
~~~ Pallor (conjunctiva, palms)
What integumentary finding is a sign f hemolytic anemia?
,~~~ Jaundice
A beefy, red, sore tongue is a sign of what?
~~~ Folic acid deficiency
A smooth red tongue is a sign of what?
~~~ iron deficiency
List the respiratory S/S pointing to anemia.
~~~ dyspnea, tachypnea, orthopnea
What GI disturbances occur with anemia?
~~~ N/V/D, anorexia, dysphagia, hepatomegaly, splenomegaly
True/False: muscle pain occurs with anemia.
~~~ True
What conditions are CBC values used for?
~~~ leukemia, blood cell disorders
What is a colonoscopy used for in a patient with anemia?
~~~ To assess for a GI bleed, malignancy, growths
, What considerations are most important in patients with acute blood loss & severe
hemolysis?
~~~ decreased perfusion
What is the expected treatment for blood loss & severe hemolysis?
~~~ blood transfusions and IV fluids; acute O2 therapy
What medications should be withheld or adjusted in a patient with acute blood loss?
~~~ antihypertensives
What are complications of severe anemia?
~~~ heart failure, paresthesias, confusion
What are the hypoproliferative anemias?
~~~ Iron deficient, anemia in KD, chronic disease, & megaloblastic
Iron deficient anemia is a cytic anemia.
~~~ micro
Iron deficient anemia sees laboratory values of transferrin below % and ferritin
below ng/mL.
~~~ 20%:30ng/mL
