NURS 313: WEEK 8 QUIZ WITH ANSWERS
WEEK 8 QUIZ
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-QUESTION 1
1. The signs and symptoms of anemia (such as, fatigue, weakness, or dyspnea) in the
older person are often attributed to “aging.” What is a reliable physical sign of anemia in the
older person that should trigger a workup for anemia?
A reliable physical sign of anemia in older persons that should trigger a workup for anemia is
having is increased risk of falls and fractures.
QUESTION 2
1. Margery is a 78-year-old female who comes to you with non-specific complaints of
fatigue and red blood in the toilet after having stools she attributes to her hemorrhoids
bleeding for the past 4 months. What type of anemia would you suspect?
From the symptoms, the patient seems to have anemic of chronic disease. The fatigue and
red blood in the toilet after having stool may be an indication that there is bleeding in the
rectum or colon, which may be a sign of colon or rectal cancer. Rectal bleeding can also be
caused by hemorrhoids. Cancer of the GI or infection can contribute to anemia of chronic
disease.
QUESTION 3
1. You suspect your older patient has acute lymphoblastic leukemia (ALL). In addition to
a complete H&P, list four diagnostic tests you will order.
Patients suffering from acute lymphoblastic leukemia (ALL) present with signs and
symptoms relating to direct infiltration of the marrow or other organs by leukemic cells, or
with signs and symptoms relating to the decreased production of normal marrow elements.
The most common symptoms is fever without any other evidence of infection. Other
symptoms include symptoms of anemia such as fatigue, dizziness, palpitations, and dyspnea
upon even mild exertion.
The four tests to order include:
-Blood tests- Blood tests may reveal too many or too few white blood cells, not enough red
blood cells, and not enough platelets.
-Bone marrow test- The sample is sent to a lab for testing to look for leukemia cells.
-Imaging tests- Imaging tests such as an X-ray, a computerized tomography (CT) scan or
an ultrasound scan may help determine whether cancer has spread to the brain and spinal
cord or other parts of the body.
-Spinal fluid test. A lumbar puncture test, also called a spinal tap, may be used to collect a
sample of spinal fluid — the fluid that surrounds the brain and spinal cord to see whether
cancer cells have spread to the spinal fluid.
QUESTION 4
1. Ellarene is a 69-year-old Caucasian female who comes to the clinic with the chief
complaint of bruising. She states she is bruising without bumping herself. List four ROS
questions you would want to explore with her.
The four ROS questions to ask include:
-Can you bruise without hitting anything?
This study source was downloaded by 100000832361371 from CourseHero.com on 04-28-2022 08:30:40 GMT -05:00
https://www.coursehero.com/file/84390402/WEEK-8-QUIZdocx/
WEEK 8 QUIZ
+
-QUESTION 1
1. The signs and symptoms of anemia (such as, fatigue, weakness, or dyspnea) in the
older person are often attributed to “aging.” What is a reliable physical sign of anemia in the
older person that should trigger a workup for anemia?
A reliable physical sign of anemia in older persons that should trigger a workup for anemia is
having is increased risk of falls and fractures.
QUESTION 2
1. Margery is a 78-year-old female who comes to you with non-specific complaints of
fatigue and red blood in the toilet after having stools she attributes to her hemorrhoids
bleeding for the past 4 months. What type of anemia would you suspect?
From the symptoms, the patient seems to have anemic of chronic disease. The fatigue and
red blood in the toilet after having stool may be an indication that there is bleeding in the
rectum or colon, which may be a sign of colon or rectal cancer. Rectal bleeding can also be
caused by hemorrhoids. Cancer of the GI or infection can contribute to anemia of chronic
disease.
QUESTION 3
1. You suspect your older patient has acute lymphoblastic leukemia (ALL). In addition to
a complete H&P, list four diagnostic tests you will order.
Patients suffering from acute lymphoblastic leukemia (ALL) present with signs and
symptoms relating to direct infiltration of the marrow or other organs by leukemic cells, or
with signs and symptoms relating to the decreased production of normal marrow elements.
The most common symptoms is fever without any other evidence of infection. Other
symptoms include symptoms of anemia such as fatigue, dizziness, palpitations, and dyspnea
upon even mild exertion.
The four tests to order include:
-Blood tests- Blood tests may reveal too many or too few white blood cells, not enough red
blood cells, and not enough platelets.
-Bone marrow test- The sample is sent to a lab for testing to look for leukemia cells.
-Imaging tests- Imaging tests such as an X-ray, a computerized tomography (CT) scan or
an ultrasound scan may help determine whether cancer has spread to the brain and spinal
cord or other parts of the body.
-Spinal fluid test. A lumbar puncture test, also called a spinal tap, may be used to collect a
sample of spinal fluid — the fluid that surrounds the brain and spinal cord to see whether
cancer cells have spread to the spinal fluid.
QUESTION 4
1. Ellarene is a 69-year-old Caucasian female who comes to the clinic with the chief
complaint of bruising. She states she is bruising without bumping herself. List four ROS
questions you would want to explore with her.
The four ROS questions to ask include:
-Can you bruise without hitting anything?
This study source was downloaded by 100000832361371 from CourseHero.com on 04-28-2022 08:30:40 GMT -05:00
https://www.coursehero.com/file/84390402/WEEK-8-QUIZdocx/
