H&I Week 7: Case Study
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The nurse anticipates which of the following labs to be ordered for Samantha given
her complaint of fatigue and physical presentation. Select all that apply.
a) CBC
b) Hemoglobin A1C
c) Iron, TIBC & Serum Ferritin levels
d) Serum Vitamin C levels
e) Arterial Blood Gases - (correct Answer) - a) CBC
c) Iron, TIBC & Serum Ferritin levels
IDA Potential Causes - (correct Answer) - Malnutrition
Ibuprofen 800mg TID x1 year
Proctectomy History
Menorrhagia
IDA Plan of Care - (correct Answer) - Increase diet of lima beans, red meats, and
fortified cereals
Do NOT take iron supplements with milk
Take a stool softener
Report symptoms (mild, moderate, severe)
Take with iron supplements with orange juice
Monitor pulmonary function when infusing Iron Dextran
Iron Rich Foods - (correct Answer) - Red meat, dark leafy greens, egg yolks,
quinoa, poultry, broccoli, shellfish, grains, dried fruits, legumes/lentils
Vitamin C Rich Foods - (correct Answer) - Citrus fruits/ juice, strawberries,
cantalope, cabbage, peppers, tomatoes, potatoes, green leafy vegetables
The provider's diagnoses Nicole with Vitamin B-12 anemia. Which of the following
are risk factors to support this diagnosis? Select all that apply.
a) Nicotine use
b) Use of famotidine
c) Low carbohydrate diet
d) History of gastric sleeve
e) Female gender - (correct Answer) - a) Nicotine use
b) Use of famotidine
d) History of gastric sleeve
e) Female gender
Nicole has been diagnosed with Vitamin B12 anemia. The nurse is preparing for
discharge education. Which of the following will be discussed. Select all that
apply.
a) Increase consumption of plant products in your diet
b) In severe deficiency, weekly injections of cyanocobalamin may be needed
c) Increase consumption of seafood, meats and eggs
d) Consult bariatric surgery for reversal of gastric sleeve. - (correct Answer) -
b) In severe deficiency, weekly injections of cyanocobalamin may be needed
c) Increase consumption of seafood, meats and eggs
Foods High in Vitamin B12 - (correct Answer) - Fish, oyster, clam, poultry, nuts,
eggs, meat, cheese, milk, soymilk
Foods High in Folic Acid - (correct Answer) - Lentils, leafy greens, citrus,
asparagus, kidney beans, broccoli, fortified breads and cereals, sunflower seeds,
avocado, tomato juice
HIV Anticipated Orders - (correct Answer) - Rapid HIV
CBC
BNP
Urinalysis
Chlamydia, Gonorrhea, Syphilis
Save
The nurse anticipates which of the following labs to be ordered for Samantha given
her complaint of fatigue and physical presentation. Select all that apply.
a) CBC
b) Hemoglobin A1C
c) Iron, TIBC & Serum Ferritin levels
d) Serum Vitamin C levels
e) Arterial Blood Gases - (correct Answer) - a) CBC
c) Iron, TIBC & Serum Ferritin levels
IDA Potential Causes - (correct Answer) - Malnutrition
Ibuprofen 800mg TID x1 year
Proctectomy History
Menorrhagia
IDA Plan of Care - (correct Answer) - Increase diet of lima beans, red meats, and
fortified cereals
Do NOT take iron supplements with milk
Take a stool softener
Report symptoms (mild, moderate, severe)
Take with iron supplements with orange juice
Monitor pulmonary function when infusing Iron Dextran
Iron Rich Foods - (correct Answer) - Red meat, dark leafy greens, egg yolks,
quinoa, poultry, broccoli, shellfish, grains, dried fruits, legumes/lentils
Vitamin C Rich Foods - (correct Answer) - Citrus fruits/ juice, strawberries,
cantalope, cabbage, peppers, tomatoes, potatoes, green leafy vegetables
The provider's diagnoses Nicole with Vitamin B-12 anemia. Which of the following
are risk factors to support this diagnosis? Select all that apply.
a) Nicotine use
b) Use of famotidine
c) Low carbohydrate diet
d) History of gastric sleeve
e) Female gender - (correct Answer) - a) Nicotine use
b) Use of famotidine
d) History of gastric sleeve
e) Female gender
Nicole has been diagnosed with Vitamin B12 anemia. The nurse is preparing for
discharge education. Which of the following will be discussed. Select all that
apply.
a) Increase consumption of plant products in your diet
b) In severe deficiency, weekly injections of cyanocobalamin may be needed
c) Increase consumption of seafood, meats and eggs
d) Consult bariatric surgery for reversal of gastric sleeve. - (correct Answer) -
b) In severe deficiency, weekly injections of cyanocobalamin may be needed
c) Increase consumption of seafood, meats and eggs
Foods High in Vitamin B12 - (correct Answer) - Fish, oyster, clam, poultry, nuts,
eggs, meat, cheese, milk, soymilk
Foods High in Folic Acid - (correct Answer) - Lentils, leafy greens, citrus,
asparagus, kidney beans, broccoli, fortified breads and cereals, sunflower seeds,
avocado, tomato juice
HIV Anticipated Orders - (correct Answer) - Rapid HIV
CBC
BNP
Urinalysis
Chlamydia, Gonorrhea, Syphilis
