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Things I don't know for Maryville NURS 640 exam 4 Latest Update ) Exam
| Questions and Verified Answers | 100% Correct | Grade A +
What kind of anemia is iron deficiency anemia? - ANSWER
Microcytic. This is the most common microcytic anemia.
Order a serum iron study. This would show either low iron
(normal is 25-170) or low ferritin (normal is 12-156). Treat with
oral iron 325 mg TID, and educate patient that this can cause
constipation or GI upset.
If your patient has a microcytic anemia and their iron and
ferritin levels are normal, what other microcytic anemias are
you considering? - ANSWER 1. Sideroblastic anemia - can be
congenital or acquired through lead-poisoning.
2. Thalassemia anemia - inherited and results in destruction of
red blood cells.
If your patient has elevated WBC's, elevated neutrophils and
elevated bands (a "left shift"), what etiology are you
considering? - ANSWER Bacterial infection.
Neutrophils = bacterial.
, 2|Page
An elevation in lymphocytes would indicate which kind of
infection? - ANSWER Viral.
Lymphocytes = viral.
An elevation in eosinophils as well as (possibly but less
commonly) basophils indicate which kind of reaction? -
ANSWER Allergic reaction.
Eosinophils = allergic reactions.
Elevated neutrophils and monocytes indicate which kind of
infection? - ANSWER Chronic infection.
Neutrophils = infection.
Monocytes = chronic.
What kind of anemia is vitamin B12 and folic acid anemias? -
ANSWER Macrocytic.
Order a blood smear and reticulocyte count. You are looking for
megaloblastic features which means the RBC's are oval and
macrocytic. Also order a serum vitamin B12 and folate level.
Things I don't know for Maryville NURS 640 exam 4 Latest Update ) Exam
| Questions and Verified Answers | 100% Correct | Grade A +
What kind of anemia is iron deficiency anemia? - ANSWER
Microcytic. This is the most common microcytic anemia.
Order a serum iron study. This would show either low iron
(normal is 25-170) or low ferritin (normal is 12-156). Treat with
oral iron 325 mg TID, and educate patient that this can cause
constipation or GI upset.
If your patient has a microcytic anemia and their iron and
ferritin levels are normal, what other microcytic anemias are
you considering? - ANSWER 1. Sideroblastic anemia - can be
congenital or acquired through lead-poisoning.
2. Thalassemia anemia - inherited and results in destruction of
red blood cells.
If your patient has elevated WBC's, elevated neutrophils and
elevated bands (a "left shift"), what etiology are you
considering? - ANSWER Bacterial infection.
Neutrophils = bacterial.
, 2|Page
An elevation in lymphocytes would indicate which kind of
infection? - ANSWER Viral.
Lymphocytes = viral.
An elevation in eosinophils as well as (possibly but less
commonly) basophils indicate which kind of reaction? -
ANSWER Allergic reaction.
Eosinophils = allergic reactions.
Elevated neutrophils and monocytes indicate which kind of
infection? - ANSWER Chronic infection.
Neutrophils = infection.
Monocytes = chronic.
What kind of anemia is vitamin B12 and folic acid anemias? -
ANSWER Macrocytic.
Order a blood smear and reticulocyte count. You are looking for
megaloblastic features which means the RBC's are oval and
macrocytic. Also order a serum vitamin B12 and folate level.
