NUR 170 EXAM 1 /NUR170 Exam 1 Actual Exam
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General s/ sx of Anemia - ....ANSWER.....✓✓SOB,
fatigue, weakness, confusion, dizziness, pale, increased
HR, increased RR
SCD - ....ANSWER.....✓✓Cells = 1/2 eaten donut ( sickle
shaped) and clump together
RF of SCD - ....ANSWER.....✓✓Genetics + SCD crisis (
stress, dehydration, vasoconstriction, cold weather,
infection, altitude changes, strenuous excercise and
pregnancy)
Expected findings of SCD - ....ANSWER.....✓✓Jaundice,
itching, hypoxia, clotting issues, and pain
Interventions for SCD - ....ANSWER.....✓✓1. Elevate HOB
2. Admin 02
3. Promote vasodilation
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4. Hypotonic IV solutions 250 mL/ x 4 hrs
5. Prevent vasoconstriction
6. Frequent circulation checks ( pulses)
7. Monitor for infection
8. ROM as tolerated
9. RBC transfusion every 3-4 months
10. Monitor for SBD ( ulcers)
11. Pain Management ( opioids)
Teaching for SCD - ....ANSWER.....✓✓1. Increase fluid
intake
2. S/ sx of infection and prevention
3. Genetic Counseling
4. Proper clothing
5. Maintain vaccinations
6. Avoid large clouds
Priorities during SCD crisis - ....ANSWER.....✓✓1.
Hydration
2. Perfusion
3. Oxygenation
4. Pain management
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Iron deficiency Anemia s/ sx - ....ANSWER.....✓✓General
anemia s/ sx + fissures in corner of mouth, spoon nails,
and pica
Iron deficiency Anemia - ....ANSWER.....✓✓Loss of blood
flow leading to hypoxia or because of poor iron intake
Interventions for iron deficiency anemia -
....ANSWER.....✓✓1. Admin 02
2. Elevate hob
3. Encourage food sources + regular intake of iron
supplement
4. Fix GI bleed if related
5. Consults: GI, social worker, dietician
Priorities for iron deficiency anemia -
....ANSWER.....✓✓1. Find the underlying cause
2. Treat the problem
3. Prevent problem from happening
Teaching for iron deficiency anemia - ....ANSWER.....✓✓1.
Encourage diet rich iron rich foods
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2. Iron supplements
3. Drink liquid iron through a straw ( stains teeth)
4. S/ e of iron supplements include dark tarry stools
and constipation
5. Increase fluid intake to help prevent constipation
RF of Iron deficiency anemia - ....ANSWER.....✓✓Women,
blood loss, poor intake, malabsorption
RF for B-12 deficiency - ....ANSWER.....✓✓Gastrectomy,
vegan diet, tape worm, chronic diarrhea, small bowel
resection, and weight loss surgery
S/ sx for B-12 deficiency - ....ANSWER.....✓✓Neuro
issues ( paresthesias ) and gloss it is
B- 12 deficiency - ....ANSWER.....✓✓Lack of intrinsic
factor or nerve sensations r/ t myelin sheath
Priorities for B-12 - ....ANSWER.....✓✓1. Find cause
2. Treat the problem
3. Prevent the problem