.png){kind=logo}
NUR 172 FINAL EXAM ACTUAL QUESTIONS
WITH VERIFIED SOLUTIONS
What is thrombocytopenia?✔- low platelet count What are granulocytes?✔- neutrophils, eosinophils, basophils ( Big takeway is that they are WBC's) Teaching for Iron supplements✔- -Take on an empty stomach -Take 1-2 hours before meal -Can turn front teeth red Cancer - patient teaching regarding social interaction and precautions✔- - Wash hands -Wear a mask -Limit interaction too less than 30 minutes Difference between chemotherapy and radiation✔- - Chemotherapy spreads throughout the whole body and kills everything -Radiation is localized.What stage is HIV declared AIDS?✔- Stage 3 Normal vs AIDS CD4 Levels✔- When the CD4 count drops below 200, a person is diagnosed with AIDS. A normal range for CD4 cells is about 700-1,000 Define acquired immunity✔- An immunity that develops before birth and throughout the lifetime of
NUR 172 FINAL EXAM ACTUAL QUESTIONS
WITH VERIFIED SOLUTIONS
the individual Digoxin (Lanoxin) - teaching, levels, and OD symptoms✔- - contact health care professional before taking medication if pulse rate is <60 or >100.-Watch levels normal 0.8-2.0 -Toxicity symptoms include nausea, vomiting, abdominal pain What is MCV? ✔- mean corpuscular volume. There are three main types of corpuscles (blood cells) in your blood-red blood cells, white blood cells, and platelets.Normal MCV range✔- 80-100 MCV > 100 means what?✔- Macrocytic anemia. Common causes include; B12 deficiency, Folic acid deficiency, EtOH abuse, or liver disease What lab is tested to determine anemia? What are the normal M/F levels for anemia?✔- Hemoglobin Male <13 Female <12 MCV is between 80-100, what is your next step? If this test is greater than 1.3 what are you thinking?✔- Check creatinine. If creatinine > 1.3 you need a renal consult for CKD MCV is < 80 what is your next step? What do you do if these two tests come back low?✔- Iron
studies:
Ferritin (is a protein that contains iron and is the primary form of iron stored inside of cells) <15 ng/ml TSTAT ( you get this by dividing the serum iron level by the total iron-binding capacity. The total iron- binding capacity correlates with circulating transferrin, which is the major iron-binding protein in plasma.) < 20%
NUR 172 FINAL EXAM ACTUAL QUESTIONS
WITH VERIFIED SOLUTIONS
LOW -
NUR 172 FINAL EXAM ACTUAL QUESTIONS
WITH VERIFIED SOLUTIONS
*Give iron supplements (IV or PO) *Consider EPO is surgery anticipated *Treat cause if iron deficiency anemia is confirmed.Examples; GI blood loss, menorrhagia, pregnancy, insufficient intake.MCV > 100 what is your next step?✔- Assess for; B12 deficiency Folate dificiency EtoH abuse Liver disease Hypothyroidism MCV is 85 and the creatinine is 1.2. What is your next thought as a nurse?✔- is the reticulocyte (baby RBC without a nucleus) normal?MCV is 85, creatinine is 1.2, and the reticulocyte count is normal between 0.5-1.5%. What is your next thought as the nurse? What do you need too rule out?✔- Rule out blood loss Rule out hemolysis Iron Consider EPO MCV is 85, creatinine is 1.2, and the reticulocyte count is 0.2%. What are you evaluating for? How is this normally treated?✔- Anemia of a chronic disease *TSTAT <20 *Decrease in RBC lifespan *Treat underlying disease *Consider EPO/iron
.png)