Questions And Revised Correct Answers & Rationales ()
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1. iron deficiency anemia: decrease iron supply, blood loss, poor gi absorption, inadequate diet
2. iron deficiency anemia s/s: CNS: Paresthesia( numbness tingling)
paller
weight loss
fatigue
FISSURES (at the corner of the mouth)
Spooning nails
Pica
3. iron deficiency anemia tx: replace iron
food:
-green leafy vegs, red meat, beans, eggs, raisins
iron supplement: cause black stool and gi discomfort
4. iron deficiency anemia lab work: H&H
5. b12 deficiency anemia: caused by a vegan diet, small bowel resection, gastrectomy, diarrhea, and
tapeworm
6. b12 deficiency anemia s/s: glossitis (Beefy red tongue)
parathesis (numbness and tingling)
7. b12 deficiency anemia tx: increase iron intake
Food: citrus fruits, green leafy veggies, b12 injections, fish, eggs, nuts, dairy, dried beans animal proteins SubQ
injections
8. Folic acid deficiency: Caused by malnutrition, malabsorption, substance abuse alcoholics
commonly found in elderly
9. Folic acid deficiency s/s: fatigue, pallor, weight loss
,10. Folic acid deficiency tx: anti-seizure medications
oral contraceptives
food sources:green leafy veg, liver, yeast, citrus fruits, nuts, dried beans
11. sickle cell anemia: a genetic disorder, stress, alcohol, triggers, dehydration, abnormal HgB &Hct chains. is
chronic
12. sickle cell anemia s/s: hypoxia, severe pain and perfusion issues
13. sickle cell crisis anemia: clotting of red blood cells: causes severe pain, hypoxia, dehydration, infection
, 14. Educate a pt with sickle cell anemia: High altitudes
tight clothing( vasoconstriction)
high temp (72degrees)
15. sickle cell anemia and crisis tx: hydration, 02, pain meds, remove any tight clothing, room temp
above 72, check circulation every hour, keep HOB elevated
16. anemia can cause: confusion, fatigue, poor perfusion, cold extremities, weakness
17. risk of undertreatment for pain: elderly
drug abusers
veterans
nonverbal
pts that do not show pain due to culture
language barrier
18. Best indicators for pain: self report
wong baker faces
numeric scale
19. Behavior cues for pts in pain: fidgeting
gripping bed sheets
moving around
hard to console
grimacing
guarding an area
fetal position
20. neuropathic pain: PHANTOM LIMB
PAIN burning sensation
numbness and tingling
pins/needles
21. neuropathic pain medicine: pregabalin
gabapentin
maybe antidepressants
22. pain is: localized
projected