NR 507 Midterm
Study online at https://quizlet.com/_gjb4t9
1. Which client should the nurse practitioner (NP) recognize as most at risk of
developing iron deficiency anemia?
A 25-year-old client who recently became pregnant
A 40-year-old client with a history of peptic ulcers
A 30-year-old client who donates blood every 3 months
A 50-year-old client with congestive heart failure: A 30-year-old client who donates blood every
3 months
2. The nurse practitioner (NP) reviews a client's laboratory results. Which labo-
ratory result best reflects the client's level of iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity: Serum ferritin
3. The nurse practitioner (NP) is caring for a client with beta thalassemia major.
The NP should anticipate the client will require what?: a bloos transfusion
4. The nurse practitioner (NP) is counseling a client with iron deficiency anemia
about dietary needs. Which instruction(s) should the NP include? Select all that
apply.
Avoid drinking tea or coffee with meals
Consume lean red meat
Increase intake of calcium-rich foods
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals: Avoid drinking tea or coffee with meals
Consume lean red meat
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
, NR 507 Midterm
Study online at https://quizlet.com/_gjb4t9
5. A nurse practitioner (NP) is providing pre-conception counseling to a couple,
both of whom are carriers of thalassemia. Which of the following actions should
the NP take? Select all that apply.
Encourage the couple not to conceive.
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss ways to prevent naturally conceiving a child with thalassemia.
Discuss inheritance patterns of thalassemia.: Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss inheritance patterns of thalassemia.
6. The nurse practitioner (NP) assesses the client on a follow-up visit after
the initiation of treatment for thalassemia including administration of blood
transfusions. What three (3) assessments should the NP prioritize to evaluate
client outcomes? Select 3.
Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level: Ferritin level
Hemoglobin level
Energy level
7. Which of the following clients should the nurse practitioner (NP) recognize as
being most at risk for developing vitamin B-12 deficiency anemia?
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
Adult client who had a vertical sleeve gastrectomy: Adult client who had a vertical sleeve
gastrectomy
, NR 507 Midterm
Study online at https://quizlet.com/_gjb4t9
8. Mean Corpuscular Hemoglobin Concentration (MCHC): indicates hemoglobin concen-
tration in RBCs
9. Ferritin: total iron stores; low levels indicate iron deficiency
10. microlytic anemia: small RBC's
-iron deficiency
-thalassemia
11. Thalassemia beta major treatment: blood transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
12. Type 1 hypersensitivity: Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
13. Type 2 hypersensitivity: mediated by IgG antibodies and macrophages
HITT reaction, transfusion reaction, Graves Disease
14. Graves disease: IgG antibodies attach the TSH receptor causing an over production of thyroid hormones
leading the hyperthyroidism
tx: beta blockers for tachycardia, methimazole (not for pregnant), propylthiouracil (for pregnant), radioactive iodine
therapy (not for pregnant)
15. Type 3 hypersensitivity: neutrophil mediated reaction
immune complexes activate complement system & neutrophils resulting in tissue destruction
-Lupus, serum sickness
16. systemic lupus erythematosus: B&T cells are over reactive causing production of antibodies
DX with ANA antibody
TX with NSAIDS for pain
17. Which of the following client(s) should the nurse practitioner (NP) recognize
as being at risk for developing folate deficiency? Select all that apply.
A 30-year-old client with severe anorexia nervosa
A 19-year-old client with sickle cell disease
A 27-year-old client who is newly pregnant and breastfeeding their toddler
A 40-year-old client with celiac disease
A 32-year-old client who had a gastrectomy one year ago: A 30-year-old client with severe
Study online at https://quizlet.com/_gjb4t9
1. Which client should the nurse practitioner (NP) recognize as most at risk of
developing iron deficiency anemia?
A 25-year-old client who recently became pregnant
A 40-year-old client with a history of peptic ulcers
A 30-year-old client who donates blood every 3 months
A 50-year-old client with congestive heart failure: A 30-year-old client who donates blood every
3 months
2. The nurse practitioner (NP) reviews a client's laboratory results. Which labo-
ratory result best reflects the client's level of iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity: Serum ferritin
3. The nurse practitioner (NP) is caring for a client with beta thalassemia major.
The NP should anticipate the client will require what?: a bloos transfusion
4. The nurse practitioner (NP) is counseling a client with iron deficiency anemia
about dietary needs. Which instruction(s) should the NP include? Select all that
apply.
Avoid drinking tea or coffee with meals
Consume lean red meat
Increase intake of calcium-rich foods
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals: Avoid drinking tea or coffee with meals
Consume lean red meat
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
, NR 507 Midterm
Study online at https://quizlet.com/_gjb4t9
5. A nurse practitioner (NP) is providing pre-conception counseling to a couple,
both of whom are carriers of thalassemia. Which of the following actions should
the NP take? Select all that apply.
Encourage the couple not to conceive.
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss ways to prevent naturally conceiving a child with thalassemia.
Discuss inheritance patterns of thalassemia.: Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss inheritance patterns of thalassemia.
6. The nurse practitioner (NP) assesses the client on a follow-up visit after
the initiation of treatment for thalassemia including administration of blood
transfusions. What three (3) assessments should the NP prioritize to evaluate
client outcomes? Select 3.
Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level: Ferritin level
Hemoglobin level
Energy level
7. Which of the following clients should the nurse practitioner (NP) recognize as
being most at risk for developing vitamin B-12 deficiency anemia?
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
Adult client who had a vertical sleeve gastrectomy: Adult client who had a vertical sleeve
gastrectomy
, NR 507 Midterm
Study online at https://quizlet.com/_gjb4t9
8. Mean Corpuscular Hemoglobin Concentration (MCHC): indicates hemoglobin concen-
tration in RBCs
9. Ferritin: total iron stores; low levels indicate iron deficiency
10. microlytic anemia: small RBC's
-iron deficiency
-thalassemia
11. Thalassemia beta major treatment: blood transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
12. Type 1 hypersensitivity: Mediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
13. Type 2 hypersensitivity: mediated by IgG antibodies and macrophages
HITT reaction, transfusion reaction, Graves Disease
14. Graves disease: IgG antibodies attach the TSH receptor causing an over production of thyroid hormones
leading the hyperthyroidism
tx: beta blockers for tachycardia, methimazole (not for pregnant), propylthiouracil (for pregnant), radioactive iodine
therapy (not for pregnant)
15. Type 3 hypersensitivity: neutrophil mediated reaction
immune complexes activate complement system & neutrophils resulting in tissue destruction
-Lupus, serum sickness
16. systemic lupus erythematosus: B&T cells are over reactive causing production of antibodies
DX with ANA antibody
TX with NSAIDS for pain
17. Which of the following client(s) should the nurse practitioner (NP) recognize
as being at risk for developing folate deficiency? Select all that apply.
A 30-year-old client with severe anorexia nervosa
A 19-year-old client with sickle cell disease
A 27-year-old client who is newly pregnant and breastfeeding their toddler
A 40-year-old client with celiac disease
A 32-year-old client who had a gastrectomy one year ago: A 30-year-old client with severe
