4/3/25, 5:44 NR- 324 Exam 2 Hematology |
PM
NR- 324 EXAM 2 HEMATOLOGY EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Oxygen transportation
RBC think
Lack of = Anemia
Infection protection
WBC think
-Lack of = Leukopenia
Coagulation
Platelets think
-Lack of = Thrombocytopenia
Malignant Predisposition
Bone marrow think
-Lack of = Leukemia/Lymphoma
CBC
Blood tests for hematology
Coagulation: PT/INR, PTT
Diagnostic test for hematology Bone marrow Biopsy
RBC
Hemoglobin
Hematocrit
Tests included in CBC
Platelet
WBC
Neutrophil
Female: 3.8-5.1
Normal RBC
Male: 4.3-5.7
Female: 11.7 - 16.0 g/dL
Normal hemoglobin
Male 13.2 - 17.3 g/dL
Female: 35-47%
Normal Hematocrit
Male: 30-50%
150,000 - 450,000
Normal platelet count
<150,000 = thrombocytopenia
Normal WBC count 4,000 - 11,000
50 - 70 %
Normal neutrophil count or
2200 - 7700 cells
1/
8
, 4/3/25, 5:44 NR- 324 Exam 2 Hematology |
PM
a deficiency in the number of erythrocytes, the quantity of hemaglobin, and/or
define Anemia the volume of packed RBCs (hematocrit)
-not a disease, a clinical finding that arises from many causes
reflect hypoxia
-Fatigue
-Tachycardia
manifestations of Anemia -Tachypnea
-Restlessness
-Irritability
-Dyspnea
-Decreased RBC Production
3 Main classifications/causes of Anemia -Blood Loss
-Increased RBC Destruction (Hemolytic anemias)
symptoms are constant (at rest & during activity)
-Daily tasks are difficult to complete. Mental abilities are impaired. Emotional
changes. Headache, Noticeable pallor, tachycardia, angina. Tachypnea,
orthopnea, Sensitivity to cold. Dyspnea at rest.
-Int: Pallor, jaundice, pruritis
-Eyes: icteric conjunctiva & sclera, retinal hemorrhage, blurred vision
-Mouth: glossitis, smooth tongue
Manifestations of severe anemia
-CV: Tachy, ↑Pulse pressure, systolic murmurs, int. claudication, angina, HF, MI
-Pulm: Tachypnea, Orthopnea, dyspnea @ rest
-Neuro: HA, vertigo, irritability, depression, impaired thought processes
GI: anorexia, hepatomegaly, splenomegaly, difficulty swallowing, sore mouth
-Bone pain
-Sensitivity to cold, Weight loss
Lethargy
-Correcting the cause of anemia is ultimate goal (treat UNDERLYING CAUSE)
-Blood / blood product transfusion
-Meds
-Volume replacement
Nursing management of Anemia
-O2
-Prevent Falls
-Educate on dietary and lifestyle changes
-Schedule rest
A nurse is providing discharge teaching to A, B
a client who had a gastrectomy for
stomach cancer. Which of the The client who had a gastrectomy will require injections of vitamin B12 for the
following information should be rest of his life due to lack of intrinsic factor being produced by the parietal cells
included in the teaching? (Select all of the stomach.
that apply).
A. "You will need a monthly injection Cyanocobalamin nasal spray used daily is an option.
of vitamin B12 for the rest of your
life."
B."Using the nasal spray form of
vitamin B12 on a daily basis may be an
option."
C. "An oral supplement of vitamin B12
taken on a daily basis may be an
option."
D."You should increase your intake
of animal proteins, legumes, and
dairy products to increase vitamin B12
in your diet."
E. "Add soy fortified with vitamin B12
to your diet to decrease the risk of
pernicious anemia."
2/
8
PM
NR- 324 EXAM 2 HEMATOLOGY EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Oxygen transportation
RBC think
Lack of = Anemia
Infection protection
WBC think
-Lack of = Leukopenia
Coagulation
Platelets think
-Lack of = Thrombocytopenia
Malignant Predisposition
Bone marrow think
-Lack of = Leukemia/Lymphoma
CBC
Blood tests for hematology
Coagulation: PT/INR, PTT
Diagnostic test for hematology Bone marrow Biopsy
RBC
Hemoglobin
Hematocrit
Tests included in CBC
Platelet
WBC
Neutrophil
Female: 3.8-5.1
Normal RBC
Male: 4.3-5.7
Female: 11.7 - 16.0 g/dL
Normal hemoglobin
Male 13.2 - 17.3 g/dL
Female: 35-47%
Normal Hematocrit
Male: 30-50%
150,000 - 450,000
Normal platelet count
<150,000 = thrombocytopenia
Normal WBC count 4,000 - 11,000
50 - 70 %
Normal neutrophil count or
2200 - 7700 cells
1/
8
, 4/3/25, 5:44 NR- 324 Exam 2 Hematology |
PM
a deficiency in the number of erythrocytes, the quantity of hemaglobin, and/or
define Anemia the volume of packed RBCs (hematocrit)
-not a disease, a clinical finding that arises from many causes
reflect hypoxia
-Fatigue
-Tachycardia
manifestations of Anemia -Tachypnea
-Restlessness
-Irritability
-Dyspnea
-Decreased RBC Production
3 Main classifications/causes of Anemia -Blood Loss
-Increased RBC Destruction (Hemolytic anemias)
symptoms are constant (at rest & during activity)
-Daily tasks are difficult to complete. Mental abilities are impaired. Emotional
changes. Headache, Noticeable pallor, tachycardia, angina. Tachypnea,
orthopnea, Sensitivity to cold. Dyspnea at rest.
-Int: Pallor, jaundice, pruritis
-Eyes: icteric conjunctiva & sclera, retinal hemorrhage, blurred vision
-Mouth: glossitis, smooth tongue
Manifestations of severe anemia
-CV: Tachy, ↑Pulse pressure, systolic murmurs, int. claudication, angina, HF, MI
-Pulm: Tachypnea, Orthopnea, dyspnea @ rest
-Neuro: HA, vertigo, irritability, depression, impaired thought processes
GI: anorexia, hepatomegaly, splenomegaly, difficulty swallowing, sore mouth
-Bone pain
-Sensitivity to cold, Weight loss
Lethargy
-Correcting the cause of anemia is ultimate goal (treat UNDERLYING CAUSE)
-Blood / blood product transfusion
-Meds
-Volume replacement
Nursing management of Anemia
-O2
-Prevent Falls
-Educate on dietary and lifestyle changes
-Schedule rest
A nurse is providing discharge teaching to A, B
a client who had a gastrectomy for
stomach cancer. Which of the The client who had a gastrectomy will require injections of vitamin B12 for the
following information should be rest of his life due to lack of intrinsic factor being produced by the parietal cells
included in the teaching? (Select all of the stomach.
that apply).
A. "You will need a monthly injection Cyanocobalamin nasal spray used daily is an option.
of vitamin B12 for the rest of your
life."
B."Using the nasal spray form of
vitamin B12 on a daily basis may be an
option."
C. "An oral supplement of vitamin B12
taken on a daily basis may be an
option."
D."You should increase your intake
of animal proteins, legumes, and
dairy products to increase vitamin B12
in your diet."
E. "Add soy fortified with vitamin B12
to your diet to decrease the risk of
pernicious anemia."
2/
8
