NUR 213 EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED
What are the iron supplements?
Ferrous sulfate, ferrous gluconate
What is the mechanism of iron supplements (ferrous sulfate and ferrous gluconate)?
Replaces iron stores required for Hgb, myoglobin, and enzyme function; supports O2 transport
What issues can iron supplementation be used for?
Iron-deficiency anemia, prevention in pregnancy
What are the adverse effects of iron supplementation?
Constipation, nausea, dark/black stool, epigastric pain, staining of teeth (liquid form)
What is iron supplementation best absorbed with?
Best absorbed on an empty stomach with Vit. C (orange juice)
What should you avoid giving iron supplementation with because it decreases absorption?
Milk, calcium, or antacids
What are some other nursing considerations for iron supplementation?
-use a straw with liquid form
-teach about stool appearance
-monitor Hgb, Hct, reticulocyte count
,What is folic acid?
Vit. B9
What is the mechanism of folic acid (Vit. B9)?
Essential for DNA synthesis, RBC/WBC formation, cell growth
What are the uses for folic acid (Vit. B9)?
Treatment.prevention of megoblastic anemia, prevention of neural tube defects in pregnancy,
alcohol use disorder
What are the adviser effects of folic acid (Vit. B9)?
Rare, may mask a Vit. B12 deficiency
What are the nursing considerations of folic acid (Vit. B12)?
-Encourage diet with leafy greens, citrus fruits, beans
-supplement required in pregnancy
-assess for concurrent B12 deficiency (neurological symptoms)
What are the Vit. B12's ?`
Cyanocobalmain, Hydroxocobalmain
What is the mechanism for B12?
Needed for DNA synthesis, neurological function, and RBC production
What are the uses for B12?
Pernicious Anemia, strict vegan diet, post-gastric surgery
, What is pernicious anemia?
lack of intrinsic factor
What are the adverse effects of Vit. B12?
Injection site pain, hypokalemia during rapid new RBC production
What are the nursing considerations for Vit. B12?
-usually lifelong IM injections for pernicious anemia
-monitor neuro (parathesia, confusion)
- teach dietary sources (meats, eggs, dairy, fortified foods)
What are the types of blood products?
Packed red blood cells (PRBC's), fresh frozen plasma, platelets, cryoprecipitate
What are the uses for blood products?
Severe anemia, clotting factor deficiencies, trauma, severe blood loss
What are the adverse effects of blood products?
Allergic reaction, febrile non-hemolytic reaction, hemolytic transfusion reaction, TRAL1, fluid
overload
What is TRAL1?
Transfusion-Related Acute Lung Injury (happens within 6 hrs)(inflammation of lungs)
What is a febrile non-hemolytic reaction?
VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED
What are the iron supplements?
Ferrous sulfate, ferrous gluconate
What is the mechanism of iron supplements (ferrous sulfate and ferrous gluconate)?
Replaces iron stores required for Hgb, myoglobin, and enzyme function; supports O2 transport
What issues can iron supplementation be used for?
Iron-deficiency anemia, prevention in pregnancy
What are the adverse effects of iron supplementation?
Constipation, nausea, dark/black stool, epigastric pain, staining of teeth (liquid form)
What is iron supplementation best absorbed with?
Best absorbed on an empty stomach with Vit. C (orange juice)
What should you avoid giving iron supplementation with because it decreases absorption?
Milk, calcium, or antacids
What are some other nursing considerations for iron supplementation?
-use a straw with liquid form
-teach about stool appearance
-monitor Hgb, Hct, reticulocyte count
,What is folic acid?
Vit. B9
What is the mechanism of folic acid (Vit. B9)?
Essential for DNA synthesis, RBC/WBC formation, cell growth
What are the uses for folic acid (Vit. B9)?
Treatment.prevention of megoblastic anemia, prevention of neural tube defects in pregnancy,
alcohol use disorder
What are the adviser effects of folic acid (Vit. B9)?
Rare, may mask a Vit. B12 deficiency
What are the nursing considerations of folic acid (Vit. B12)?
-Encourage diet with leafy greens, citrus fruits, beans
-supplement required in pregnancy
-assess for concurrent B12 deficiency (neurological symptoms)
What are the Vit. B12's ?`
Cyanocobalmain, Hydroxocobalmain
What is the mechanism for B12?
Needed for DNA synthesis, neurological function, and RBC production
What are the uses for B12?
Pernicious Anemia, strict vegan diet, post-gastric surgery
, What is pernicious anemia?
lack of intrinsic factor
What are the adverse effects of Vit. B12?
Injection site pain, hypokalemia during rapid new RBC production
What are the nursing considerations for Vit. B12?
-usually lifelong IM injections for pernicious anemia
-monitor neuro (parathesia, confusion)
- teach dietary sources (meats, eggs, dairy, fortified foods)
What are the types of blood products?
Packed red blood cells (PRBC's), fresh frozen plasma, platelets, cryoprecipitate
What are the uses for blood products?
Severe anemia, clotting factor deficiencies, trauma, severe blood loss
What are the adverse effects of blood products?
Allergic reaction, febrile non-hemolytic reaction, hemolytic transfusion reaction, TRAL1, fluid
overload
What is TRAL1?
Transfusion-Related Acute Lung Injury (happens within 6 hrs)(inflammation of lungs)
What is a febrile non-hemolytic reaction?
