NUR 425 Exam 2
What does absolute neutrophil count measure? - answer The total number of
neutrophils in the blood
Which lab test is used to monitor the intrinsic pathway? - answer-PTT (partial
prothrombin time)
-60-70 seconds
Which lab test is used to monitor the extrinsic pathway? - answer-PT (prothrombin time)
-10-13 seconds
What drug does PT (prothrombin time) monitor? - answerWarfarin (Coumadin)
What drug does PTT and APTT monitor? - answer Heparin
Red Blood Cell (RBC) Count - answerFemales: 3.61 - 5.11 million/mm3
Males: 4.21 - 5.81 million/mm3
Hematocrit - answerFemales: 36%-48%
Males: 42%-52%
Hemoglobin - answerFemales: 11.7-15.5 g/dL
Males: 14-17.3 g/dL
White Blood Cell (WBC) Count - answer4.50-11.1 103/mm3
Absolute Neutrophil Count (ANC) - answer1.5 to 8.0 (1,500 to 8,000/mm3)
Platelets - answer150,000-450,000/µL
What does a WBC shift to the left mean? - answer-Indicates that more immature cells
are present in the blood than normal
-Occurs with acute infection, inflammation, or some other significant physical stress
What is anemia? - answerOccurs when there is a reduction in the oxygen-carrying
capacity through either fewer RBCs or a reduction in hemoglobin
What are symptoms of decreased hematocrit? - answer
What are dietary sources of iron? - answer-Meat (especially red meat)
-Dark green leafy vegetables (spinach, broccoli, peas)
-Beets
, -Dried beans
-Iron-fortified breakfast cereals and breads
-Cream of Wheat
-Ingesting citrus fruits such as oranges or grapefruits increases the vitamin C intake and
may improve iron absorption
What are clinical manifestations of iron-deficiency anemia? - answer-Fatigue
-Pallor
-Tachycardia
-Tachypnea
-Glossitis (smooth, shiny tongue)
-Koilonychia (spoon-shaped nails)
How is iron-deficiency anemia diagnosed? - answer-A complete blood count (CBC)
demonstrates decreased hemoglobin and hematocrit levels
-Serum ferritin levels less than or equal to 100 ug/L indicate IDA 100% of the time
-Additional diagnostic studies to confirm IDA include serum iron, total iron-binding
capacity (TIBC), serum transferrin receptors, and mean corpuscular volume (MCV)
What teaching do you need to provide to a client with iron-deficiency anemia? - answer-
Dietary sources of iron
-Immediately report any signs of bleeding, increasing fatigue, or shortness of breath.
-Daily iron supplements must be taken as prescribed.
-Dangers of lead exposure
-Prenatal teaching about iron intake
What are dietary sources of vitamin B12? - answer-Meat
-Seafood
-Eggs
-Dairy products
What are clinical manifestations of vitamin B12 anemia? - answer-Fatigue
-Pallor
-Tachycardia
-Tachypnea
-Shortness of breath
-Dizziness
-Glossitis
-Neurological deficits:
•Symmetric paresthesia of feet and fingers
•Lhermitte's sign
•Confusion
•Depression
•Impaired taste
•Impaired balance
•Visual disturbances
What does absolute neutrophil count measure? - answer The total number of
neutrophils in the blood
Which lab test is used to monitor the intrinsic pathway? - answer-PTT (partial
prothrombin time)
-60-70 seconds
Which lab test is used to monitor the extrinsic pathway? - answer-PT (prothrombin time)
-10-13 seconds
What drug does PT (prothrombin time) monitor? - answerWarfarin (Coumadin)
What drug does PTT and APTT monitor? - answer Heparin
Red Blood Cell (RBC) Count - answerFemales: 3.61 - 5.11 million/mm3
Males: 4.21 - 5.81 million/mm3
Hematocrit - answerFemales: 36%-48%
Males: 42%-52%
Hemoglobin - answerFemales: 11.7-15.5 g/dL
Males: 14-17.3 g/dL
White Blood Cell (WBC) Count - answer4.50-11.1 103/mm3
Absolute Neutrophil Count (ANC) - answer1.5 to 8.0 (1,500 to 8,000/mm3)
Platelets - answer150,000-450,000/µL
What does a WBC shift to the left mean? - answer-Indicates that more immature cells
are present in the blood than normal
-Occurs with acute infection, inflammation, or some other significant physical stress
What is anemia? - answerOccurs when there is a reduction in the oxygen-carrying
capacity through either fewer RBCs or a reduction in hemoglobin
What are symptoms of decreased hematocrit? - answer
What are dietary sources of iron? - answer-Meat (especially red meat)
-Dark green leafy vegetables (spinach, broccoli, peas)
-Beets
, -Dried beans
-Iron-fortified breakfast cereals and breads
-Cream of Wheat
-Ingesting citrus fruits such as oranges or grapefruits increases the vitamin C intake and
may improve iron absorption
What are clinical manifestations of iron-deficiency anemia? - answer-Fatigue
-Pallor
-Tachycardia
-Tachypnea
-Glossitis (smooth, shiny tongue)
-Koilonychia (spoon-shaped nails)
How is iron-deficiency anemia diagnosed? - answer-A complete blood count (CBC)
demonstrates decreased hemoglobin and hematocrit levels
-Serum ferritin levels less than or equal to 100 ug/L indicate IDA 100% of the time
-Additional diagnostic studies to confirm IDA include serum iron, total iron-binding
capacity (TIBC), serum transferrin receptors, and mean corpuscular volume (MCV)
What teaching do you need to provide to a client with iron-deficiency anemia? - answer-
Dietary sources of iron
-Immediately report any signs of bleeding, increasing fatigue, or shortness of breath.
-Daily iron supplements must be taken as prescribed.
-Dangers of lead exposure
-Prenatal teaching about iron intake
What are dietary sources of vitamin B12? - answer-Meat
-Seafood
-Eggs
-Dairy products
What are clinical manifestations of vitamin B12 anemia? - answer-Fatigue
-Pallor
-Tachycardia
-Tachypnea
-Shortness of breath
-Dizziness
-Glossitis
-Neurological deficits:
•Symmetric paresthesia of feet and fingers
•Lhermitte's sign
•Confusion
•Depression
•Impaired taste
•Impaired balance
•Visual disturbances
