NURS 320 Exam #2 Hematology questions and answers already passed

NURS 320 Exam #2 Hematology
questions and answers already passed

Polycythemia - Clinical Manifestations

- headache

- dizziness

- dyspnea

- angina

- weakness

- intermittent claudication (in pain when walking / pain subsides when you stop walking)

- general pruritus

- flushing of face

- left upper abdominal pain/fullness (when you have slow blood flow it gets backed up and
enlarges liver/spleen)




RBC - normal range

3.6 - 5.8 million/mm3




Hemoglobin - normal range [combined male & female]

11.7 - 17.3 g/dL




Hematocrit - normal range [combined male & female]

,36 - 52%




WBC - normal range

4,500 - 11,00 / cubic mm3




Platelets - normal range

150,000 - 450,000 / uL




ESR (Erythrocyte Sedimentation Rate "Sed Rate") - what does it reflect and what is the normal?

- inflammation or infection

- <30 mm/hr




Bleeding Time

3 - 8 minutes




Clotting Studies

PT, PTT, INR




Radiologic Studies - Types

- CT

, - MRI




Biopsies - Types

- Bone Marrow

- Lymph Node




What would be primary nursing concerns for a pt. post-procedure bone marrow biopsy?

- Infection, bleeding, & pain




Bone marrow aspiration/biopsy - Diagnostic Studies

- pt. prep

- anxiety/pain

- education (what to expect/feel)

- position (prone, side-lying or supine)




Bone marrow aspiration/biopsy - Procedure

- lasts 5-10 minutes

- sedation (local or monitored anesthesia care 'MAC')

- sterile procedure




Bone marrow aspiration/biopsy - Post Care