Lewis Ch 31 Hematologic Problems NCLEX Exam with perfect question and answers

Lewis Ch 31 Hematologic Problems NCLEX Exam with perfect question and answers 1. Match each of the anemic states with both the etiologic and morphologic classifications (answers may be used more than once). Type or Cause of Anemia: Malaria Thalassemia Acute trauma Aplastic anemia Pernicious anemia Sickle cell anemia Anemia of gastritis Anemia of leukemia Iron-deficiency anemia Anemia of renal failure Glucose-6-phosphate dehydrogenase (G6PD) Anemia associated with prosthetic heart valve Etiologic: 1. Decreased RBC production 2. Blood loss 3. Increased RBC destruction Morphologic: 4. Normocytic, normochromic 5. Macrocytic, normochromic 6. Microcytic, hypochromic: Type or Cause of Anemia Malaria 3 4 Thalassemia 1 6 Acute trauma 2 4 Aplastic anemia 1 4 Pernicious anemia 1 5 Sickle cell anemia 3 4 Anemia of gastritis 2 4 Anemia of leukemia 1 4 Iron-deficiency anemia 1 6 Anemia of renal failure 1 4 Glucose-6-phosphate dehydrogenase (G6PD) 3 4 Anemia associated with prosthetic heart valve 3 4 2. 2. A patient with a hemoglobin (Hgb) level of 7.8 g/dL (78 g/L) has cardiac palpitations, a heart rate of 102 bpm, and an increased reticulocyte count. At this severity of anemia, what other manifestation would the nurse expect the patient to exhibit? a. Pallor b. Dyspnea c. A smooth tongue d. Sensitivity to cold: b. The patient's hemoglobin (Hgb) level indicates a moderate anemia and at this severity additional findings usually include dyspnea and fatigue. Pallor, smooth tongue, and sensitivity to cold usually manifest in severe anemia when the Hgb level is below 6 g/dL (60 g/L).