Y Y Y Y Y Y Y
ANSWERS
AYpatientYwithYironYdeficiencyYanemiaYt
akesYironYsupplementationYdaily.YWhatY
AnYantacid
shouldYheYbeYadvisedYtoYavoidYwithinYaY
coupleYofYhoursYofYtakingYiron?
LeukemiaYmayYhaveYvariedYclinica
lYpresentations.YWhichYcharacteristi
SickleYshapedYcells
cYwouldYbeYunusualYtoYfindYinYaYpat
ientYwithYleukemia?
AY66Yyear-
oldYAfricanYAmericanYmaleYcomplai
nsYofYpainYinYhisYtrunk,YespeciallyYhi
multipleYmyeloma.
sYribs.YCardiovascularYdiseaseYisYrule
dYout.YHeYhasYaYnormocytic,Ynormoc
hromicYanemiaYwithYhypercalcemia.
YTheYdifferentialYdiagnosisYshouldYi
nclude:
WhatYhallmarkYfindingYisYassociat
Macrocytosis
edYwithYbothYB12YandYfolateYdefic
iencies?
AYpatientYdemonstratesYleukocytos heYhasYanYinfectio
is.YThisYmeans: nYofYunknownYorigin.
WhatYstatementYisYtrueYaboutYane AnemiaYmayYhaveYmoreYthan
miaYinYolderYadults? YoneYoriginY andYco-
existYinYolderYadults.
AYpatientYhasYbeenYtreatedYforYHIVYi
nfectionYwithYanti- EveryY3-6Ymonths
retroviralYtherapy.YHeYisYstable.
HowYoftenYshouldYCD4YcountsYbeYrepeated
?
AYpatientYpresentsYwithYhematuri
a,YRBCYcasts,YandYproteinuria.YW Glomerulonephritis
,NURSING MISC APEA TEST BANK TABLE WITH
Y Y Y Y Y Y Y
ANSWERS
hatYisYaYlikelyYexplanation?
AYpatientYdemonstratesYleukocytos heYhasYanYinfectio
is.YThisYmeans: nYofYunknownYori
gin.
AYpatientYisYhavingYanYallergicYrea
ctionYtoYseafood.YWhichYwhiteYcellY Eosinophils
willYprobablyYbeYincreased?
AYfemaleYpatientYhasYbeenYdiagnose
dYwithYGlucose-6-
AvoidYaspirinYandYsulfaYdrugs
phosphateYdehydrogenaseYdeficienc
yY(G6PD).YWhatYshouldYbeYdoneYtoY
preventYlysisYofYredYcellsYinYthisYpati
ent?
AY75Yyear-
oldYpatientYwhoYhasYmultipleYchron
FolicYacidYandYpernicious
icYdiseasesYhasYbeenYinYveryYpoorYh
ealthYforYaYdecade.YWhatYtypeYofYan
emiasYisYheYmostYlikelyYtoYexhibit?
AYpatientYhasYbeenYdiagnosedYwithY
HIV.YTheYpatient’sYviralYloadYwasYor
CD4YcellYcount
dered.YWhatYotherYtestYmayYbeYorder
edYtoYassessYtheYstatusYofYtheYpatient
’sYimmuneYsystem?
AY70Yyear- Lympho
oldYmaleYhasYlymphYnodesYinYhisYax ma
illaryYandYinguinalYareasYthatYareYpal
pableYbutYnon-
tender.YHeYstatesYthatYheYfeelsYwellYt
oday.YWhatYshouldYbeYincludedYinYa
,NURSING MISC APEA TEST BANK TABLE WITH
Y Y Y Y Y Y Y
ANSWERS
, AYthreeYyear-
oldYchildYpresentsYwithYhematuria,Ypetech
iae,YandYaYplateletYcountYofY50,000Y(Normal
idiopathicYthromb
NURSING MISC APEA TEST BANK
Y=Y150,000-450,000/ml).
Y TABLE
ocytopeniap urpur
Y
TheYrestYofYhisYCBCYisYnormal.YHeYhadYanY
WITH Y Y YY Y Y
aY(ITP).
upperYrespiratoryYinfectionYaboutY2Yweeks
ANSWERS
Yago.YOn YexamYtoday,YheYisYfoundYtoYhaveY
petechiaeYandYbruises.YTheYmostYlikely
diagnosisYis:
AYchildYandYfatherYliveYinYanYoldYhouse.YThey
YbothYareYfoundYtoYbeYleadYtoxic.YWhatYtypeY
IronYdeficiencyYanemia
anemiaYisYtypicallyYobservedYinYpatientsYwh
oYareYleadYtoxic?
AYpatientYwithYdiarrheaYhasYaYstoolYspecime
nYpositiveYforYWBCs.YWhatYdoesYthisYindicate AYviralYinfection
?
AY26Yyear-
oldYfemaleYhasYthalassemiaYminor.YWhatYsho Multi-vitaminYwithYiron
uldYbeYlimitedYinYherYdietYtoYavoidYhepatoto
xicity?
AYpatientYisYfoundYtoYhaveYeosinophilia.YAnYexpecte
dYfindingYis: asthmaYexacerbation.
AnYAfricanYAmericanYmaleYcomplainsYofYpai
nYinYhisYbackYandYtrunk.YHeYisYdiagnosedYwit aboutY65YyearsYold. .
hYmultipleYmyeloma.YHeYisYprobably:
AYpatientYhasYheavyYmenses.YWhichYla
bYvalueYbelowYreflectsYanYironYdeficienc IncreasedYTIBC
yYanemia?
AnYobeseY78Yyear-
oldYmaleYwithYpoorlyYcontrolledYhypertensi
associatedYwithYchronicYdisease. .
onYandYdiabetesYhasYaYnormocytic,Ynormoc
hromicYanemia.YThisYanemiaYisYlikely:
AnYelderlyYmaleYdiagnosedYwithYaYmicrocytic,
hypochromicYanemia: mayYhaveYaYGIY bleed.
WhichYsuggestionYbelowYisYtheYstandardYfor IronYsupplementationYin
treatingYironYdeficiencyYanemiaYinYinfants dividedYdosesYbetweenYmeals
andYchildren? withYorangeYjuice
AYpatient
Lead Ywith Ypernicious
Ytoxicity anemiaYmayYYwith:
YcanYbeYYassociated b sideroblastic Yanemia.
glossitis.
eYobservedYtoYhave: