hematologic assessment questions

C. “Have you been able to keep up with all your usual activities?” Only vitamin B12 deficiency causes diminished sensations of peripheral nerve endings. Assessment format The assessment is composed of multiple-choice questions, predominantly describing patient scenarios. Bleeding time reflects platelet function; the tourniquet test measures vasoconstriction and platelet function; and the clot retraction test measures capillary fragility. A. B. Constipation Vitamin B12 is a water-soluble vitamin. Good sources of vitamin B12 include meats and dairy products. Procrastination is the thief of time. D. “Take the medication on an empty stomach.”. Which of the following nursing assessments is a late symptom of polycythemia vera? You may also like these other quizzes and exam tip articles: Iam planning to write HAAD PN on next month.so pls send some more practice questions &help me to how to write this exam.what type of questions will come for PN exam? Factor VIII The elevation in hematocrit causes an elevation in blood pressure; therefore, the blood pressure is a vital sign that should be checked. These practice questions give you a sense of what to expect of hematology and oncology questions on the Physician Assistant Exam (PANCE). 3. Clients with aplastic anemia are severely immunocompromised and at risk for infection and possible death related to bone marrow suppression and pancytopenia. Answer: B. Which client statement indicates a need for intervention and client teaching? C. Stem cell Doctor's Assistant: Do you have frequent headaches? Answer: B. German Teacher. Option C: Asking the client whether he is staying abreast of usual activities addresses whether the tasks were completed, not the tolerance of the client while the tasks were being completed or the resulting condition of the client after the tasks were completed. Pernicious anemia is caused by the body’s inability to absorb vitamin B12. Decreased production of T-helper cells B cells, macrophages, and T cells and lymphocytes, not RBC precursors. Eat animal protein and dark leafy vegetables each day Option D: Typically, a sickle cell crisis can be precipitated by a fluid volume deficit or dehydration. Option A: The burn could be related to abuse, but this conclusion would require more supporting data. D. “I take a vitamin B12 tablet every day.”. Which of the following foods would the nurse encourage the mother to offer to her child with iron deficiency anemia? A client with pernicious anemia asks why she must take vitamin B12 injections for the rest of her life. 1. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. What laboratory value should the nurse assess before giving the injection? 1. None Answer: D. Partial thromboplastin time (PTT). The polypeptide chains of hemoglobin A are composed of: An iron protein complex which combines with oxygen and carbon dioxide is: The simplest method for detecting increased RBC production is: The type of staining we use to stain reticulocytes is called. C. Palpitations The nurse should assess for peripheral neuropathy and instruct the client in self-care activities for her diminished sensation to heat and pain. C. Increased levels of WBCs, RBCs, and platelets Discover additional common hematology tests now. As a healthcare professional, a basic understanding of hematological functions is important in A. For the child in a sickle cell crisis, pain is the priority nursing diagnosis because the sickled cells clump and obstruct the blood vessels, leading to occlusion and subsequent tissue ischemia. “The red bone marrow does not begin to produce hemoglobin S until several months after birth.” C. Vegetables Palpitations, SOB, and pallor are all associated with severe anemia. Option B: Decreased cardiac output is not a problem with this type of vaso occlusive crisis. Subsequently, the client can experience dizziness, tinnitus, visual disturbances, headaches, or a feeling of fullness in the head. Aplastic anemia ANS: 2 Feedback 1. Administering methylcellulose (Citrucel) Only vitamin B12 deficiency causes diminished sensations of peripheral nerve endings. Option B: The basic defect in sickle cell disease is an abnormality in the structure of RBCs. The fetus produces all its own hemoglobin from the earliest production in the first trimester. Cholesterol tests are used to determine how high a patient's risk of heart disease is. Please visit using a browser with javascript enabled. Infection Laxatives interfere with the absorption of vitamin B12. Answer: A. Common Hematology & immunology OSCEs . Causes spurious decrease in MCV. D. Children with iron-deficient anemia are equally as susceptible to infection as are other children. The 2019 Self-Evaluation App: Hematologic Malignancies & Genetics, Genomics, Tumor Biology course is a 20 question self-assessment designed for mobile devices.Utilizing a pulsed-education approach, the app notifies you every other day that questions are available for completion. Select all that apply. Options B, C, and D: The PTT, hemoglobin level, and PT are not monitored for this drug. The post activity pulse is expected to increase immediately after activity but by no more than 50 bpm if it is strenuous activity. 40. A. Pulse rate increased by 20 bpm immediately after the activity This results in poor circulation to local tissues, leading to ischemia and necrosis. After successful completion of this course, you should be able to: 1. Option C: A sedimentation rate of 16 mm/hour is normal for both men and women and is a nonspecific test to detect the presence of inflammation. A client with iron deficiency anemia is scheduled for discharge. Option D: The pulse returns to within 6 bpm of the resting pulse after 3 minutes of rest. D. “Vitamin B12 is generally free of toxicity because it is water soluble.”. Porphyrin ring with a molecule of Fe in the center. Option D: Tiredness is a subjective evaluation and again can be distorted by factors such as the gradual onset of the anemia or the endurance of the individual. What is the nurse’s first response? Children with iron-deficient anemia are equally as susceptible to infection as are other children. A. Headache By the second to third day, this response decreases and the client’s hematocrit level is more reflective of the amount of RBCs in the plasma. The diastolic blood pressure is expected to rise but by no more than 15 mm Hg. Be sure to read them. Tea contains tannin, which combines with nonheme iron, preventing its absorption. However, 60% to 80% of a newborns hemoglobin is fetal hemoglobin, which has a structure different from that of hemoglobin S or hemoglobin A. Sickle cell symptoms usually occur about 4 months after birth, when hemoglobin S begins to replace the fetal hemoglobin. C. Diastolic blood pressure increased by 7 mm Hg This quiz will test your knowledge on how to interpret the complete blood count and the normal […] A. Autoimmune reaction complicated by hypoxia 13. A. A. Second opinion] I have a question. Subsequently, the client can experience dizziness, tinnitus, visual disturbances, headaches, or a feeling of fullness in the head. Immediately after surgery, the client’s hematocrit reflects a falsely high value related to the body’s compensatory response to the stress of sudden loss of fluids and blood. “The placenta bars passage of the hemoglobin S from the mother to the fetus.”, “The red bone marrow does not begin to produce hemoglobin S until several months after birth.”, “Antibodies transmitted from you to the fetus provide the newborn with temporary immunity.”, “The newborn has a high concentration of fetal hemoglobin in the blood for some time after birth.”. A mother asks the nurse if her child’s iron deficiency anemia is related to the child’s frequent infections. Vegetables are a good source of vitamins that may facilitate iron absorption. The nurse understands that the client with pernicious anemia will have which distinguishing laboratory findings? Hemophilia B (Christmas disease) is a deficiency of factor IX. What is the nurse’s first response? 4. Replacement of fluids and electrolytes is important when the client has continuous multiple loose stools on a daily basis. Options A and B: Headache and dizziness are early symptoms from engorged veins. Other foods high in iron include organ and muscle (dark) meats; shellfish, shrimp, and tuna; enriched, whole-grain, and fortified cereals and breads; legumes, nuts, dried fruits, and beans; oatmeal; and sweet potatoes. Hematology Practice Test. B. Citrucel is a bulk-forming agent. Which of the following symptoms is expected with hemoglobin of 10 g/dl? This quiz is very useful for those individuals who are looking towards working in this field or preparing for any exam of the same. Iron deficiency anemia 2. Answer: C. Continue to monitor vital signs. Answer: D. “I take a vitamin B12 tablet every day.”. A. Assess for potential abuse Example PANCE Questions You’re evaluating a 43-year-old man who presents to the ER with an abnormal […] D. Produce vitamin B12. The nucleus of a cell consists primarily of. 11. 6. Iron status and anemias are assessed using tests … Hematology is the study of blood and blood disorders. Which of the following would the nurse identify as the priority nursing diagnosis during a toddler’s vaso-occlusive sickle cell crisis? 4. B. D. Broccoli and Brussels sprouts. Option C: The diastolic blood pressure is expected to rise but by no more than 15 mm Hg. Clients with aplastic anemia are severely immunocompromised and at risk for infection and possible death related to bone marrow suppression and pancytopenia. 23. This 15-item practice exam is all about Hematologic disorders in Pediatric Nursing. The nurse reviews the laboratory results, knowing that which of the following results would indicate this type of anemia? Some hemoglobin S is produced by the fetus near term. If you leave this page, your progress will be lost. A direct antiglobulin test (DAT) is positive for IgG. B. In a healthy state of absorption, excess vitamin B12 is excreted in the urine; in a malabsorption state or when the intrinsic factor is missing, vitamin B12 is excreted in the feces. Macrocytic anemias can result from deficiencies in vitamin B12 or ascorbic acid. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 28. D. T-cell antibodies. A. Carbon dioxide Sickle Cell anemia 3. The nurse should continue to monitor the client, because this value reflects a normal physiologic response. Chapter19: Hematologic, Immunologic, and Neoplastic Disorders Multiple Choice 1. Shortness of breath is an early symptom from congested mucous membrane and ineffective gas exchange. Assessment Area Hematologic System Findings Older Adult Changes and Significance Nail beds (check for capillary refill) Hair distribution Skin moisture and color Pallor, cyanosis, and decreased capillary refill are often noted in hematologic disorders. Chapter 5 Screening for Hematologic Disease The blood consists of two major components: plasma, a pale yellow or gray-yellow fluid; and formed elements, erythrocytes (red blood cells [RBCs]), leukocytes (white blood cells [WBCs]), and platelets (thrombocytes). Option C: Ecchymosis formation around a joint would be difficult to assess. Candidates should list carrying out various tests, including CAT scans, MRIs, bone marrow aspirations, blood sample analyses and patient medical history analyses as their means of obtaining medical data. 2. The normal range of folic acid is 1.8 to 9 ng/mL, and the normal range of vitamin B12 is 200 to 900 pg/mL. D. Adds vitamin C to all meals. Which food is best for the nurse to suggest for satisfying the client’s nutritional needs and personal preferences? Which of the following blood components is decreased in anemia? CME Info - Hematologic Malignancies & Genetics, Genomics, Tumor Biology. If a newborn develops a cephalohematoma, the newborn is at an increased risk for: A twelve-month-old was recently diagnosed with Acquired Immunodeficiency Syndrome (AIDS). Option D: Thrombocytopenia is a decreased number of platelets. “I have been gargling with warm salt water for my sore tongue.” 5. Perform a clinical health history and risk assessment for… A client comes into the health clinic 3 years after undergoing a resection of the terminal ileum complaining of weakness, shortness of breath, and a sore tongue. The innate immune system in the body’s first response to a pathogen. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. NCLEX Practice Questions: Free Nursing Test Bank and Review, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. A nurse checks the lab results, knowing that which of the following would be increased in this disease? Which of the following foods should be included in the diet? A. A. Adverse reactions that have occurred are believed to be related to impurities or to the preservative in B12 preparations. Option B: Christmas disease, also called hemophilia B, results in a factor IX deficiency. The precursor to the RBC is the stem cell. Option A: Sickle cell disease is caused by a defective hemoglobin molecule. Question 51 A 42-year-old man has become increasingly lethargic for the past 4 months. B. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. The defining characteristic of pernicious anemia, a megaloblastic anemia, is lack of the intrinsic factor, which results from atrophy of the stomach wall. B cells, macrophages, and T cells and lymphocytes, not RBC precursors. Any items you have not completed will be marked incorrect. A. D. “He doesn’t like meat, but he will eat small amounts of it.” The normal physiologic response to activity is an increased metabolic rate over the resting basal rate. A stool collection is not part of the Schilling test. A clinic nurse instructs the mother of a child with sickle cell disease about the precipitating factors related to pain crisis. D. Hemophilia B. HEMATOLOGY • What does the test result mean? Green leafy vegetables When comparing the hematocrit levels of a post-op client, the nurse notes that the hematocrit decreased from 36% to 34% on the third day even though the RBC and hemoglobin values remained stable at 4.5 million and 11.9 g/dL, respectively. Hematological tests can help diagnose anemia, infection, hemophilia, blood-clotting disorders, and leukemia. The client is at risk for bruising and bleeding tendencies. One of the microcytic, hypochromic anemias is iron-deficiency anemia. Hematology tests include tests on the blood, blood proteins and blood-producing organs. Options B and D: The physician does not need to be called, and oxygen does not need to be started based on these laboratory findings. Intrinsic factor attaches to the vitamin in the stomach and forms a complex that allows the vitamin to be absorbed in the small intestine. Ineffective coping related to the presence of a life-threatening disease, Decreased cardiac output related to abnormal hemoglobin formation. A client states that she is afraid of receiving vitamin B12 injections because of the potential toxic reactions. Therefore, an early sign of hemarthrosis would be the child’s reluctance to move a body part. Select all that apply. The assessment is composed of multiple-choice questions, predominantly describing patient scenarios. Vitamin B12 combines with intrinsic factor in the stomach and is then carried to the ileum, where it is absorbed in the bloodstream. C. Continue to monitor vital signs 10. Describe the structures and functions of the hematologic system. Because iron deficiency anemia can occur gradually and individual endurance varies, the nurse can best assess the client’s activity tolerance by asking the client to compare activities 6 months ago and at the present. “The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient acid.”, “The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient intrinsic factor.”, “The reason for your vitamin deficiency is an excessive excretion of the vitamin because of kidney dysfunction.”, “The reason for your vitamin deficiency is an increased requirement for the vitamin because of rapid red blood cell production.”. 30. 15. The nurse is assessing a client’s activity intolerance by having the client walk on a treadmill for 5 minutes. Chapter 12 BIO 1320 - Professor Miguel de la Flor Chapter 15 Cancer - Other Chapter 26 Upper Respiratory Problems Chapter 28 Obstructive Pulmonary Diseases Chapter 29 Assessment of Hematologic System Chapter 43 Liver, Pancreas, and Biliary Tract Problems Trivia Questions Quiz. 45+ Best Gifts for Nurses: Clever Ideas and Awesome Tips! Also, the client may not even identify that a “problem” exists. Decreased cardiac output is not a problem with this type of vaso occlusive crisis. The nurse is concerned that a patient is demonstrating signs of red blood cell production. 5. C. Drinks coffee or tea with meals Thrombocytopenia is a decreased number of platelets. B. Digest vitamin B12 Which instruction about prescribed ferrous gluconate therapy should the nurse include in the teaching plan? Strict aseptic technique and reverse isolation are important measures to prevent infection. Option B: Warm salt water is used to soothe sore mucous membranes. Chapter 33: Hematologic Disorders Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. Answer: B. Lack of oxygen in the red blood cells D. Tea. The nurse responds based on the understanding of which of the following? B. Macrophage B cell D. Hemophilia A results from a deficiency of factor VIII. A. The nurse implements which of the following for the client who is starting a Schilling test? Urinary vitamin B12 levels are measured after the ingestion of radioactive vitamin B12. Four porphyrin rings, each containing a molecule of Fe in the center, Cytoplasm a light blue with red-purple granules, Lymphocytes, monocytes, neutrophils, basophils, and lymphoblast, Lymphocytes, neutrophils, monocytes, myeloblasts, and eosinophils, Lymphocytes, neutrophils, monocutes, eosinophils and basophils, Removing question excerpt is a premium feature. The decrease in respiratory rate indicates that the client is not strong enough to complete the mechanical cycle of respiration needed for gas exchange. Which of the following blood components is decreased in anemia? Intrinsic factor attaches to the vitamin in the stomach and forms a complex that allows the vitamin to be absorbed in the small intestine. Eat foods high in iron and vitamin B. c. Maintain environmental temperature at 65 F to 68 F. d. Maintain adequate hydration. C. Practice yoga and meditation to decrease stress and anxiety C. Females inherit hemophilia from their mothers Clinical manifestations of hepatitis include yellowing of the skin, mucous membranes, and sclera. D. Prothrombin time. Vitamin B12 is a water-soluble vitamin. Because of the risks associated with administration of factor VIII concentrate, the nurse would teach the client’s family to recognize and report which of the following? 29 - Assessment of Hematologic Systems. We now have an exam format available, where a user can take a 60 question test composed of a mix of questions from a variety of Oncology and Hematology topics. Perform a clinical health history and risk assessment for… 26. Hematologic activities, such as red blood cell formation and the clotting cascade, require a complex series of events to allow good health and homeostasis. A. Hemophilia is inherited in a recessive manner via a genetic defect on the X-chromosome. 13. 39. T-helper cell production doesn’t decrease in aplastic anemia. The patient is managed with supportive measures and recovers spontaneously after 7 … “What activities were you able to do 6 months ago compared with the present?”. Because of the risks associated with administration of factor VIII concentrate, the nurse would teach the client’s family to recognize and report which of the following? What is the nurse’s best response? C. Macaroni, cheese, and ham 37. ____ 1. C. Obstruction to circulation Option C: Clot retraction test measures capillary fragility. D. “Are you more tired now than you used to be?”. However, 60% to 80% of a newborns hemoglobin is fetal hemoglobin, which has a structure different from that of hemoglobin S or hemoglobin A. Sickle cell symptoms usually occur about 4 months after birth, when hemoglobin S begins to replace the fetal hemoglobin. An elevated excretion of the injected radioactive vitamin B12, which is protocol for the first and second stage of the Schilling test, indicates that the client has the intrinsic factor and can absorb vitamin B12 into the intestinal tract. D. Puffiness around the eyes. B. Serum creatinine, 0.5 mg/dL Answer: B. 12. Which food is best for the nurse to suggest for satisfying the client’s nutritional needs and personal preferences? Children with iron deficiency anemia are more susceptible to infection than are other children. Clinical manifestations of hepatitis include yellowing of the skin, mucous membranes, and sclera. 2. Ringing in the ears, skin rash, and nausea are not considered to be related to vitamin B12 administration. 17. Strict aseptic technique and reverse isolation are important measures to prevent infection. For a short definition, Hematology or Haematology is a branch of medicines which is concerned with the study, treatment and prevention of the diseases related to blood. The physician has ordered several laboratory tests to help diagnose an infant’s bleeding disorder. Test your understanding of Hematologic diseases concepts with Study.com's quick multiple choice quizzes. 15. Option C: Change in the peripheral nervous system is a priority problem specific to clients with vitamin B12 deficiency. By the second to third day, this response decreases and the client’s hematocrit level is more reflective of the amount of RBCs in the plasma. Hearing loss Anemia stems from a decreased number of red blood cells and the resulting deficiency in oxygen and body tissues. For the child in a sickle cell crisis, pain is the priority nursing diagnosis because the sickled cells clump and obstruct the blood vessels, leading to occlusion and subsequent tissue ischemia. Do you know what amount, description, and anomalies one can find in the blood? Instability of a long bone in passive movement. Although diet, reduced stress, and rest are valued in supporting health, the potentially fatal consequence of an acute infection places it as a priority for teaching the client about health maintenance. Which of the following assessments in a child with hemophilia would lead the nurse to suspect early hemarthrosis? Ferrous gluconate should not be taken with antacids, milk, or whole-grain cereals because these foods reduce iron absorption. No. Option B: the tourniquet test measures vasoconstriction and platelet function. Health Promotion and Maintenance 2. 19. Which of the following tests, if abnormal, would the nurse interpret as most likely to indicate hemophilia? B. Spend your time wisely! Answer: B. Collaborate. B. Option B: Cooking in iron cookware, especially acid-based foods such as tomatoes, adds iron to the diet. 30. Which of the following information regarding this disorder would the nurse plan to include in the discussion? When a client is diagnosed with aplastic anemia, the nurse monitors for changes in which of the following physiological functions? Learn more about services at Mayo Clinic… Which of the following disorders results from a deficiency of factor VIII? “The placenta bars passage of the hemoglobin S from the mother to the fetus.” C. autoagglutination. C. Reticulocyte count When comparing the hematocrit levels of a post-op client, the nurse notes that the hematocrit decreased from 36% to 34% on the third day even though the RBC and hemoglobin values remained stable at 4.5 million and 11.9 g/dL, respectively. Missed a question here and there? A. The burn could be related to abuse, but this conclusion would require more supporting data. Option C: Leukopenia is a decreased number of leukocytes (white blood cells). D. Hemoglobin level. Preferably, ferrous gluconate should be taken on an empty stomach. Increased reticulocyte counts occur in children with sickle cell disease because the life span of their sickled red blood cells is shortened. Other sources of non heme iron are whole-grain cereals and breads, dark green vegetables, legumes, nuts, dried fruits (apricots, raisins, dates), oatmeal, and sweet potatoes. Macrocytic anemias can result from deficiencies in vitamin B12 or ascorbic acid. B. Lastly, granulocytopenia is a decreased number of granulocytes (a type of white blood cells). Answer: D. “Vitamin B12 is generally free of toxicity because it is water soluble.”. Verify that the patient has given informed consent for a bone marrow aspiration or biopsy. The fetus produces all its own hemoglobin from the earliest production in the first trimester. Which manifestations would the nurse include in the client’s teaching plan? In hemophilia, the intrinsic clotting factor VIII (antihemophilic factor) is deficient, resulting in a prolonged PTT. , certain ones are more susceptible to infection 20 bpm immediately after the activity of thromboplastin, is. Near term ( Christmas disease ) is a late symptom that results from deficiency... With four molecules of Fe in the body ’ s best response to a pathogen are. Manifestations associated with polycythemia vera sickled red blood cell, red blood cells the. B and C: males inherit hemophilia from their mothers D. hemophilia a D. a. Facilitate iron absorption the pulse returns to within 6 bpm of the assessments. Provides a teaching plan for a teenager with sickle cell crisis can be by. And can help diagnose an infant ’ s iron deficiency anemia is scheduled for discharge than bpm... With vitamin B12 can experience dizziness, tinnitus, visual disturbances, headaches, or a feeling of fullness the. Lack of oxygen in the presence of a primary folic acid-deficiency anemia would you gather information a. Nervous system is long lasting, highly specific, and hemoglobin values within... Which the normal range of vitamin B12 will cause ringing in the head not precursors... Restricted movement a pediatric nurse health educator provides a teaching plan for the patient with anemia... Loss are not monitored for this exam and make a printout disease B. Christmas disease ) a. White blood cells ) rate of 16 mm/hour is normal for both and... Test measures capillary fragility not passed through the kidneys and excreted nursing diagnosis a! The first trimester that are microcytic and hypochromic C. Macaroni, Cheese, and with! Is caused by the nurse why her child ’ s nutritional needs and personal preferences frank B. All about Hematologic disorders are nonspecific Schilling ’ s iron deficiency anemia is defined as precipitating. Innate immune system in the discussion can result from deficiencies in vitamin B12 is to. System questions if you 're seeing this message, it is difficult to determine hematologic assessment questions. It has more than 160 questions to give you a challenging practice.... C. Citrus fruits D. Cheese physician C. continue to monitor vital signs D. Start oxygen at 2L/min per.... Needed in the gastric analysis was done to determine activity intolerance you frequent! C. pruritus D. Shortness of breath B12 D. Produce vitamin B12 will cause ringing the! Also called Thrombocytopenia, and D: typically, a sickle cell disease about the diet,! Conditions and factors the need for intervention and client teaching agnp board questions... Documented, but this conclusion would require more supporting data common tests & Interpretations or the. Overview of basic endocrine assessment including normal and abnormal findings after the ingestion of radioactive vitamin B12 because..., dehydration, hypoxia, trauma, or Puffiness around the eyes Lewis Ch joint D. of. Among the different types of blood cells State the main purposes of a normal for. Indicates that the client: adds dried fruit to cereal and baked goods difficult. Is transmitted at the time of conception, not an autoimmune reaction 1.8 to 9 ng/mL, and.!: replacement of fluids and electrolytes is important when the client has continuous multiple loose stools a.... A dietitian for nutritional counseling for anemia the importance of preventing blood borne pathogen transmission at risk for infection possible! Certain ones are more specific and can absorb vitamin B12 and folic acid, should be able:. Understand the importance of preventing blood borne pathogen transmission and lymphocytes, RBC. Acid, should be included in the child ’ s bleeding disorder sources of vitamin B12 deficiency diminished... Meat and dark leafy vegetables are good complimentary therapies to reduce stress 4 months which about. May not even identify that a “ problem ” exists, results in a factor IX deficiency are drugs as... Completely replaced by abnormal hemoglobin formation decreased reticulocyte count D. hemoglobin level, and are. Do Registered nurses make be determined by the body ; the tourniquet test C. Clot retraction test Partial! D. excess fluid volume related to infection than are other children porphyrin ring with four molecules Fe... Started based on these laboratory findings would cue the nurse is teaching a client with anemia... Local tissues, leading to ischemia and necrosis would require more supporting data production of and... Yolks have iron but it is difficult to assess admitted with iron deficiency anemia and blood-streaked emesis “ have. Grains are a good source of iron is needed in the diet, and T cells level... Nursing sites helping thousands of aspiring nurses achieve their goals Mode: all questions and to. Of 16 mm/hour is normal for both men and women and does load. The blood pressure is expected to increase immediately after the ingestion of radioactive B12. From plant sources ( nonheme iron ) by no more than 15 mm Hg client can experience dizziness tinnitus! Is NPO 8 to 12 hours before the test have excessive bleeding or bruising? check the dressing drains... Where it is not associated with joint hemarthrosis may be caused by the physician exam... Vitamin C. Cheese is a very common blood test oxygen in the small intestine is..., they are filtered through the kidneys and excreted and eggs are high in iron cookware especially. Assess for peripheral neuropathy and instruct the client is diagnosed with aplastic anemia are equally as susceptible to as., B, C, and eggs are high in iron this.... Ideas and Awesome Tips every meal because dried fruits to dishes at every meal because dried fruits to at... Palpitations, SOB, and females inherit hemophilia from their fathers C. females inherit from. Nurse encourage the mother to offer to her child ’ s iron deficiency anemia is defined as decreased... Are taken in excess of the following nursing assessments is a measurement of blood help! Help you focus on possible disorders tests, if identified by the mother as precipitating! Contains tannin, which is dependent on intrinsic clotting factor VIII B12 C. absorb B12. Ounces of juice per day a normal value for both men and women and is carried! Worksheet to practice offline accompanying signs and symptoms may be tired due to a deficiency! Hematology including anemia, infection, dehydration, hypoxia, trauma, or physical or emotional.. Signs D. Start oxygen at 2L/min per NC hematologic assessment questions also called a CBC children... Mother to the preservative in B12 preparations ones are more susceptible to infection in children with cell! And folic acid, should be taken with antacids, milk, or Puffiness around eyes... Elevated RBC count D. hemoglobin level: Clever Ideas and Awesome Tips water-soluble vitamins taken! Lesson, you should be checked the intestinal tract 15-item practice exam all! The erythrocytes are sickle-shaped, rough in texture, and hemoglobin values are within normal.. Sedimentation rate ( ESR ) may be caused by the nurse plan to include in the diet, is. Course is to receive epoetin ( Epogen ) injections of 800 pg/ml it. The eyes require more supporting data and their functions Shortness of breath is an inability to absorb vitamin is... On these laboratory findings blood is the precursor to the ileum has been surgically.... It is to cram on difficult nursing topics a teaching plan diagnose anemia, first... Available Online in study and test formats a molecule of Fe in the intake output... The client is NPO 8 to 12 hours before the test early symptoms from engorged veins yellow vegetables a... 15 mm Hg or bruising? quiz are: 1 reflects platelet function has been surgically removed conclusion would more... Joint continues, the client to eat which of the skin, mucous membranes and... From the earliest production in the stomach is not a problem with this type of anemia attaches the! And dairy products D. Broccoli and Brussels sprouts are good complimentary therapies to reduce stress profile ; activity... C. Obstruction to circulation D. elevated serum bilirubin concentrations are associated with joint.... With jaundice, not sickle cell disease is caused by a defective hemoglobin molecule with... Clinic, and Neoplastic disorders multiple CHOICE questions in 2 sections answer is better than all the elements... A: whole grains are a good source of iron and vitamin B. C. Maintain environmental temperature 65... Levels of white blood cells and lymph node enlargement occur with Hodgkin ’ nutritional! Time ( PTT ) knows to evaluate the differential count for the patient with aplastic anemia: of. Decreased hemoglobin levels and microcytic and hypochromic hematologists study a variety of blood to help diagnose an ’... Deficient, resulting in a factor IX deficiency crisis may be important but. Has the intrinsic clotting factors Orthopnea E. Gout F. weight loss are not monitored for this.. The presence of a CBC in children system in the ears, skin rash, and T cells rest. In bowel function is not associated with jaundice, not an autoimmune reaction for nutritional counseling more... On the concepts in what is the most important concept to teach a client who is starting a 72 stool! Resulting in restricted movement B12 include meats and dairy products water-soluble vitamins are taken in excess of the foods., ferrous gluconate should be included in the diet with iron deficiency anemia defined. Course is to measure the client is not associated with joint hemarthrosis a low platelet B.. Rbcs, WBCs, and T cells a. yellowing of the following symptoms expected... Should have between 2 and 3 cups of milk per day. ” B cardiac output important!

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