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Exam (elaborations)

Pnr 201 Exam 4 Notes

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PNR 201 EXAM 4 NOTES

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PNR 201 EXAM 4 NOT
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ES
1.Which statement about the hematology system is accurate: African Ame
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rican have the highest chance of sickle cell disease
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2.Who has a higher incidence of leukemia: White People
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3.RBC normal range: 4.2-6.2 million
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4.WBC normal range: 5,000-10,000
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5.Hemoglobin range: 12-18 g/dL vn vn vn

6.Platelets normal range: 150,000-400,000 vn vn vn

7.What would you expect if your patient neutrophils shift to the right: A
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mimia from vitamin B12 OR FOLIC ACID DEFICIENCY
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8.True or false - vn vn vn

vnViral infection prompts the production of additional lympho-
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vncytes: TRUE vn


9.What proteins are found in plasma?
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vnSelect all that apply.: albumin FibroGen
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alpha & beta globulins
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10.Which organ release the erythropoietin-
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stimulating factor that direct stem cells in the bone marrow to make bloo
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d cells?: Kidney
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11.Which organ(s) break down red blood cells?
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vnSelect all that apply.: Spleen and Liver
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12.The nurse is caring for patient with iron deficiency anemia. The n
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urse should encourage intake of which food(s)?: Liver
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Dried apricots vn v

nlima beans vn


13.What medication cause anemia?: Oral Contracept
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ives primidone (mysoline)
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Phenytoin Dilanti vn

n Diuretics
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14.What environmental causes suppress bone marrow production of RBC
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-
: Toxic chemic
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als toxic drug
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s Radiation
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15.What are some assessment questions for internal bleeding?: Do you b
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ruise easily vn

are your joint painful?
vn vn vn

vnDo they swell Do you feel fat
vn vn vn vn vn vn

igued
have you become more irritable than usual
vn vn vn vn vn vn


1vn/
vn17

, PNR 201 EXAM 4 NOT
vn vn vn vn



ES
16.The nurse Observes yellow sclera which other finding would support
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the nurse suspicion that hemolysis is occurring?: Tea Colored urine
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17.True or false Hemarthrosis is a clinical finding associated with associa
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ted hemophilia: True
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2vn/
vn17

, PNR 201 EXAM 4 NOT
vn vn vn vn



ES
18.True or false Do Not use a straw when taking iron?: False
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19.What happens when you lose 40 vn vn vn vn vn vn

% of the blood?: Rapid thready pulse and cold clammy skin
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20.True or false Intrinsic factor is missing from the gastric juice is a pos
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sible cause of B12 Deficient Anemia?: True
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21.Nursing Interventions for Sickle cell anemia: Take folic
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acid assistance for adequate pain
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increase fluids A vn vn

void High Altitudvn vn

e
22.True or false Acute lymphocytic leukemia occurs mostly in children: T
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ue
23.Hemophilia A is for Clotting factor: Factor 8 vn vn vn vn vn vn vn

24.Hemophilia C is for clotting factor: Factor 11 vn vn vn vn vn vn vn

25.Hemophilia B is for clotting Factor for: Factor 9 vn vn vn vn vn vn vn vn

26.What are the 3 phases of leukemia: Remission induction t
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herapy maintenance therapy vn vn

consolidation therapy vn

27.What are some Patient teaching for thrombocytopenia?: Soft toothb
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rush Electric toothbrush
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Avoid activity that cause impact
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28.What are priority lab assessment for ongoing care of a patient with mul
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tiple myeloma: CBC
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CALCIUM
29.What are some S/ vn vn vn

S of circulatory overload during a blood transfusion: Dis-
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vntended neck veins vn vn

hypertension t vn

achycardia
30.Hoe often should a patient with polycythemia vera have a phlebotom
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y to thin the blood: every 2-3 months
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31.the nurse is caring for a patient with polycythemia vera focus is the
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most important for the nurse to emphasize?: Maintenance of high fluid
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nintake
32.A patient who works as a tech in MRI and Nuc med is newly diagnose
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d with anemia what is the most likely kind: Aplastic anemia
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33.what blood disorders cause spleen enlargement: polycythe
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Tru
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