Med surge exam chapters 27 and 28

Question 1

pernicious anemia diet education

Answer 1

vegetarians
yogurt, increase dairy products
iron is absorbed better with citrus fruit

Question 2

nursing care for pernicious anemia

Answer 2

rest and assistance with ADL’s

Question 3

iron deficiency education

Answer 3

green leafy veggies
red meat
report constipation

Question 4

folic acid deficiency

Answer 4

fortified cereal, whole grains, and green leafy vegetables

Question 5

who is at risk for folic acid deficiency

Answer 5

regular drinker

pregnant

Question 6

lymphangiography education

Answer 6

blue skin and urine for up to two days.

Question 7

how much blood is in the body?

Answer 7

4 to 6 liters

Question 8

clotting disorder treatment

Answer 8

fresh frozen plasma

Question 9

as an lpn. What is your role during bone marrow

Answer 9

monitoring-puncture site, vital signs

check to see if consent was obtained

Question 10

thrombocytopenia
platelets value- 150,000 to 450,000
what is a concerning value?
what needs to be avoided?
What will the MD order?

Answer 10

not enough platelets.
20,000 to 50,000
fall risk
no nsaids
avoid vaccines 
no sports 
FFP

Question 11

Aplastic anemia appearance

Answer 11

fatty, fibrous, and yellow

Question 12

hypoxia secondary to COPD. Will have an increase in?

Answer 12

RBC’s to increase oxygen levels

Question 13

S/S of anemia

Answer 13

pallor
fatigue
clubbing

Question 14

manifestations of Hgb of 6
might get thirsty
might get mild fatigue
but will definitely have…

Answer 14

orthopnea
puritis-itchness
blurred vision

Question 15

females hgb

Answer 15

12-16

Question 16

when a pt. takes iron supplements. Signs of improvement

Answer 16

hemoglobin and hematocrit

Question 17

Idiopathic thrombocytopenia purpose

Answer 17

justification for splenectomy

Question 18

why perform splenectomy?

Answer 18

primary site of platelet destruction

Question 19

what is the risk of a splenectomy?

Answer 19

higher risk of getting meningitis
post op day 1 - administer opioids not Tylenol
ambulating 
incentive spirometer
cough and deep breathe

Question 20

polycythemia therapeutic treatment

Answer 20

therapeutic phlebotomy

Question 21

chronic lymphocytic leukemia

Answer 21

manifestation of DIC

Question 22

manifestations of DIC

Answer 22

back pain

petechia

Question 23

multiple myelomas

Answer 23

hypercalcemia- bone fragility

intervention would be lots of water

Question 24

hemolytic anemia- destruction of red blood cells

happens because of?

Answer 24

transfusing incompatible blood

Question 25

sickle cell anemia nursing care plan

Answer 25

focused on pain and poor perfusion 
push fluids
no restrictive clothing
knee gatch - bend the knees in bed 
warm compress to prevent vasoconstriction

Question 26

stage 4 Hodgkin’s. Where are enlarged lymph nodes

Answer 26

generalized throughout body

Question 27

hemophilia to avoid bleeding

Answer 27

desmopressin intravenously
pain needs to be treated with opioids
non-pharm-guided imagery. music

Question 28

pt. suspects they are bleeding and has hemophilia

Answer 28

place pt. in a exam room and get physician

Question 29

positive bone marrow shows what?

Answer 29

Philadelphia chromosome- chronic myelogenous leukemia

Question 30

white blood cells

Answer 30

5-10

Question 31

hemoglobin

Answer 31

female 12-16

male 14-18

Question 32

patelets

Answer 32

150-400

Question 33

red blood cells

Answer 33

female 4.2 to 5.4

male 4.7 to 6.1

Question 34

potassium

Answer 34

3.5 to 5

Question 35

Na lab value

Answer 35

35 to 145

Question 36

calcium

Answer 36

9-10.5