NR511 Final Exam Review
Mean Corpuscular Volume (MCV) VERIFIED ANS: measures the average volume or size of the red blood
cells; helps to classify anemia into three categories:size of a red blood cell
Microcytic Anemia, Normocytic Anemia, Macrocytic Anemia
normal: 76 to 96 fL
Mean Corpuscular Hemoglobin (MCH) VERIFIED ANS: measures the average amount of hemoglobin per
red blood cell; helps assess the amount of hemoglobin present in each RBC.
Mean Corpuscular Hemoglobin Concentration (MCHC) VERIFIED ANS: measures the concentration of
hemoglobin within the RBCs; provides information about the color or chromatic content of the RBCs.
Macrocytic anemia (megaloblastic anemia) VERIFIED ANS: Increased MCV > 100 fL
(Vitamin B-12 deficiency, folate deficiency, or certain medications)
Normocytic anemia VERIFIED ANS: MCV between 80-100 fL
(Acute Chronic Disease, acute blood loss, early -stage anemia)
Microcytic anemia VERIFIED ANS: decreased MCV < 80 fL (hypochromic with decreased MCHC)
-IDA or Thalassemia
-order serum iron, ferritin, and TIBC
what should level to check on kids before starting iron? VERIFIED ANS: *LEAD LEVEL*
always check a lead level before starting iron on children because an increased lead level will cause
anemia despite normal iron level.
, Ulcerative Colitis VERIFIED ANS: Friability, erosions and bleeding
-characterized by bloody/purulent diarrhea
-total colectomy can completely cure but is not the first treatment option
Initial treatment of Ulcerative Colitis VERIFIED ANS: includes nutrition counseling. Patients should avoid
caffeine, raw fruits, vegetables, and other foods high in fiber, which can cause trauma to the already
inflamed mucosal surface.
C. Diff - Symptoms VERIFIED ANS: generally profuse, watery, mucoid diarrhea
-mild to mod: watery diarrhea 3 or more times/day for 2 or more days, mild cramping/abd tenderness
-severe: 10-15 watery stools/day, strong odor, acute abd secondary to megacolon w/ perforation,
distention, fever, N/V
inflammatory bowel disease VERIFIED ANS: the mucosal surface of the colon is inflamed, most often
occurs in the rectosigmoid areas but may involve the whole colon
S/S of Diverticular Disease VERIFIED ANS: bleeding, not associated with pain
N/V and LLQ tenderness and anorexia
Management for Diverticular Disease VERIFIED ANS: High Fiber Diet
Diagnosis of Diverticular Disease VERIFIED ANS: a computed tomography (CT) scan with oral contrast is a
much more sensitive and accurate test for cases in which confirmatory testing is necessary.
C. Diff S/S - infection of the large intestine which causes profuse, watery mucoid diarrhea
Mean Corpuscular Volume (MCV) VERIFIED ANS: measures the average volume or size of the red blood
cells; helps to classify anemia into three categories:size of a red blood cell
Microcytic Anemia, Normocytic Anemia, Macrocytic Anemia
normal: 76 to 96 fL
Mean Corpuscular Hemoglobin (MCH) VERIFIED ANS: measures the average amount of hemoglobin per
red blood cell; helps assess the amount of hemoglobin present in each RBC.
Mean Corpuscular Hemoglobin Concentration (MCHC) VERIFIED ANS: measures the concentration of
hemoglobin within the RBCs; provides information about the color or chromatic content of the RBCs.
Macrocytic anemia (megaloblastic anemia) VERIFIED ANS: Increased MCV > 100 fL
(Vitamin B-12 deficiency, folate deficiency, or certain medications)
Normocytic anemia VERIFIED ANS: MCV between 80-100 fL
(Acute Chronic Disease, acute blood loss, early -stage anemia)
Microcytic anemia VERIFIED ANS: decreased MCV < 80 fL (hypochromic with decreased MCHC)
-IDA or Thalassemia
-order serum iron, ferritin, and TIBC
what should level to check on kids before starting iron? VERIFIED ANS: *LEAD LEVEL*
always check a lead level before starting iron on children because an increased lead level will cause
anemia despite normal iron level.
, Ulcerative Colitis VERIFIED ANS: Friability, erosions and bleeding
-characterized by bloody/purulent diarrhea
-total colectomy can completely cure but is not the first treatment option
Initial treatment of Ulcerative Colitis VERIFIED ANS: includes nutrition counseling. Patients should avoid
caffeine, raw fruits, vegetables, and other foods high in fiber, which can cause trauma to the already
inflamed mucosal surface.
C. Diff - Symptoms VERIFIED ANS: generally profuse, watery, mucoid diarrhea
-mild to mod: watery diarrhea 3 or more times/day for 2 or more days, mild cramping/abd tenderness
-severe: 10-15 watery stools/day, strong odor, acute abd secondary to megacolon w/ perforation,
distention, fever, N/V
inflammatory bowel disease VERIFIED ANS: the mucosal surface of the colon is inflamed, most often
occurs in the rectosigmoid areas but may involve the whole colon
S/S of Diverticular Disease VERIFIED ANS: bleeding, not associated with pain
N/V and LLQ tenderness and anorexia
Management for Diverticular Disease VERIFIED ANS: High Fiber Diet
Diagnosis of Diverticular Disease VERIFIED ANS: a computed tomography (CT) scan with oral contrast is a
much more sensitive and accurate test for cases in which confirmatory testing is necessary.
C. Diff S/S - infection of the large intestine which causes profuse, watery mucoid diarrhea
