GALEN NUR 210 COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS GRADED A+
● iron deficiency anemia. Answer: decrease iron supply, blood loss, poor gi absorption,
inadequate diet
● iron deficiency anemia s/s. Answer: CNS: Paresthesia( numbness tingling) paller weight
loss fatigue FISSURES (at the corner of the mouth) Spooning nails Pica
● iron deficiency anemia tx. Answer: replace iron food: -green leafy vegs, red meat, beans,
eggs, raisins iron supplement: cause black stool and gi discomfort
● iron deficiency anemia lab work. Answer: H&H
● b12 deficiency anemia. Answer: caused by a vegan diet, small bowel resection,
gastrectomy, diarrhea, and tapeworm
● b12 deficiency anemia s/s. Answer: glossitis (Beefy red tongue) parathesis (numbness and
tingling)
● b12 deficiency anemia tx. Answer: increase iron intake Food: citrus fruits, green leafy
veggies, b12 injections, fish, eggs, nuts, dairy, dried beans animal proteins SubQ injections
● Folic acid deficiency. Answer: Caused by malnutrition, malabsorption, substance abuse
alcoholics commonly found in elderly
● Folic acid deficiency s/s. Answer: fatigue, pallor, weight loss
● Folic acid deficiency tx. Answer: anti-seizure medications oral contraceptives food
sources:green leafy veg, liver, yeast, citrus fruits, nuts, dried beans
● sickle cell anemia. Answer: a genetic disorder, stress, alcohol, triggers, dehydration,
abnormal HgB &Hct chains. is chronic
● sickle cell anemia s/s. Answer: hypoxia, severe pain and perfusion issues
● sickle cell crisis anemia. Answer: clotting of red blood cells: causes severe pain, hypoxia,
dehydration, infection
, ● Educate a pt with sickle cell anemia. Answer: High altitudes tight clothing( vasoconstriction)
high temp (72degrees)
● sickle cell anemia and crisis tx. Answer: hydration, 02, pain meds, remove any tight
clothing, room temp above 72, check circulation every hour, keep HOB elevated
● anemia can cause. Answer: confusion, fatigue, poor perfusion, cold extremities, weakness
● risk of undertreatment for pain. Answer: elderly drug abusers veterans nonverbal pts that do
not show pain due to culture language barrier
● Best indicators for pain. Answer: self report wong baker faces numeric scale
● Behavior cues for pts in pain. Answer: fidgeting gripping bed sheets moving around hard to
console grimacing guarding an area fetal position
● neuropathic pain. Answer: PHANTOM LIMB PAIN burning sensation numbness and tingling
pins/needles
● neuropathic pain medicine. Answer: pregabalin gabapentin maybe antidepressants
● pain is. Answer: localized projected radiating referred
● how body reacts to acute pain. Answer: fight or flight (norepinephrine)
● COLDSPA. Answer: C-character O- onset L- location D-duration S- severity P- Pattern A-
Associated factors
● Nursing interventions for pain. Answer: start low go slow 1:start non opioid and adjuvant
2:opioids for mild to moderate pain 3:opioids for moderate to severe pain
● Ex of Non-opioids. Answer: acetaminophen NSAIDS Non selective (Aspirin, ibuprofen,
naproxen) Selective NSAIDS (Celecoxib)
● ex of opioids. Answer: morphine, oxycodone, hydrocodone
● Side effects of opioids. Answer: Nausea, vomiting, constipation, sedation, respiratory
depression, urinary retention, pruritus OVER SEDATION = RESP DEPRESSION
● PCA. Answer: patient controlled analgesia keeps pt in therapeutic range if used correctly
only pt gives meds locks to prevent od Check pt Q1H overly sedation proceeds to respiratory
depression
FULL QUESTIONS AND SOLUTIONS GRADED A+
● iron deficiency anemia. Answer: decrease iron supply, blood loss, poor gi absorption,
inadequate diet
● iron deficiency anemia s/s. Answer: CNS: Paresthesia( numbness tingling) paller weight
loss fatigue FISSURES (at the corner of the mouth) Spooning nails Pica
● iron deficiency anemia tx. Answer: replace iron food: -green leafy vegs, red meat, beans,
eggs, raisins iron supplement: cause black stool and gi discomfort
● iron deficiency anemia lab work. Answer: H&H
● b12 deficiency anemia. Answer: caused by a vegan diet, small bowel resection,
gastrectomy, diarrhea, and tapeworm
● b12 deficiency anemia s/s. Answer: glossitis (Beefy red tongue) parathesis (numbness and
tingling)
● b12 deficiency anemia tx. Answer: increase iron intake Food: citrus fruits, green leafy
veggies, b12 injections, fish, eggs, nuts, dairy, dried beans animal proteins SubQ injections
● Folic acid deficiency. Answer: Caused by malnutrition, malabsorption, substance abuse
alcoholics commonly found in elderly
● Folic acid deficiency s/s. Answer: fatigue, pallor, weight loss
● Folic acid deficiency tx. Answer: anti-seizure medications oral contraceptives food
sources:green leafy veg, liver, yeast, citrus fruits, nuts, dried beans
● sickle cell anemia. Answer: a genetic disorder, stress, alcohol, triggers, dehydration,
abnormal HgB &Hct chains. is chronic
● sickle cell anemia s/s. Answer: hypoxia, severe pain and perfusion issues
● sickle cell crisis anemia. Answer: clotting of red blood cells: causes severe pain, hypoxia,
dehydration, infection
, ● Educate a pt with sickle cell anemia. Answer: High altitudes tight clothing( vasoconstriction)
high temp (72degrees)
● sickle cell anemia and crisis tx. Answer: hydration, 02, pain meds, remove any tight
clothing, room temp above 72, check circulation every hour, keep HOB elevated
● anemia can cause. Answer: confusion, fatigue, poor perfusion, cold extremities, weakness
● risk of undertreatment for pain. Answer: elderly drug abusers veterans nonverbal pts that do
not show pain due to culture language barrier
● Best indicators for pain. Answer: self report wong baker faces numeric scale
● Behavior cues for pts in pain. Answer: fidgeting gripping bed sheets moving around hard to
console grimacing guarding an area fetal position
● neuropathic pain. Answer: PHANTOM LIMB PAIN burning sensation numbness and tingling
pins/needles
● neuropathic pain medicine. Answer: pregabalin gabapentin maybe antidepressants
● pain is. Answer: localized projected radiating referred
● how body reacts to acute pain. Answer: fight or flight (norepinephrine)
● COLDSPA. Answer: C-character O- onset L- location D-duration S- severity P- Pattern A-
Associated factors
● Nursing interventions for pain. Answer: start low go slow 1:start non opioid and adjuvant
2:opioids for mild to moderate pain 3:opioids for moderate to severe pain
● Ex of Non-opioids. Answer: acetaminophen NSAIDS Non selective (Aspirin, ibuprofen,
naproxen) Selective NSAIDS (Celecoxib)
● ex of opioids. Answer: morphine, oxycodone, hydrocodone
● Side effects of opioids. Answer: Nausea, vomiting, constipation, sedation, respiratory
depression, urinary retention, pruritus OVER SEDATION = RESP DEPRESSION
● PCA. Answer: patient controlled analgesia keeps pt in therapeutic range if used correctly
only pt gives meds locks to prevent od Check pt Q1H overly sedation proceeds to respiratory
depression
