Iron Deficiency
How can iron deficiency anemia occur?
What is lack of iron rich foods in diet or blood loss?
What does aplastic anemia replace the bone marrow with?
What is fat?
What does cancer in the bone marrow cause an increased development of?
What is immature WBCs
What causes pain for sickle cell clients?
What is the sickled shaped of the red blood cells which causes ischemia or infarction?
What food (s) is considered high in iron?
What is organ meat (beef or calf's liver, chicken liver), beans, green leafy vegetables, raisins and molasses)?
What is the classic sign and symptom for aplastic anemia?
What is :
purpura (bruising), lymphadenopathy, splenomegaly, retinal hemorrhages?
What are the effects of leukemia?
What is increased risk for infection or increased risk for bleeding.
What are the treatment goals during a sickle cell pain crisis based on the client's symptoms?
What is pain management, hydration, and oxygenation?
What is a sign and symptom of iron deficiency anemia?
What is:
weakness, fatigue, general malaise, pallor skin and mucous membranes.
Others: smooth, red tongue, brittle and ridged nails, angular cheilosis (cracked sores).
What diagnostic test is used to diagnose aplastic anemia?
What is CBC (neutrophils, Hgb, Plt) and bone marrow aspiration?
What is a sign or symptom of leukemia?
What is
•Bone pain
•Joint swelling
•Enlarge liver and spleen
•Weight loss
•Fever
•Poor wound healing (infected lesions)
•Swollen lymph nodes
•Anemia manifestations
•Bleeding/hemorrhage manifestations
•Headaches, behavior changes, decreased attention
What diagnostic test is used to distinguish sickle cell trait from sickle cell disease?
What is hemoglobin electrophoresis?
What is the most definitive diagnostic test used to diagnose iron deficiency anemia?
What is bone marrow aspiration?
Others: CBC (H/H, RBC), ferritin levels, Total iron binding capacity (TIBC)
Based on the client's risk factors, what interventions should be implemented with the client's plan of care? (List 3 interventions)
What is neutropenia precautions and bleeding precautions?
What is the role of the nurse for a client having a bone marrow analysis/biopsy performed? (Before and After)
What is:
-Consent needed
-Explain the procedure/along with HCP
-Administer pain medication as prescribed.
-Apply pressure for 5-10 minutes to site, then apply a pressure dressing.
-Monitor site for bleeding and s/s of infection for 24 hrs.
Which medication is used to increase the levels of fetal hemoglobin and is used to decrease the formation of sickled cells?
What is hydroxyurea?
What teaching should be included when taking iron supplements by mouth?
What is:
Best to take on an empty stomach.
Causes GI irritation, so take with food to decrease.
Take with Vitamin C to increase absorption.
Liquids, take with straw or place far back in mouth to prevent teeth staining. Rinse mouth with water after use.
For pediatric clients, aplastic anemia can be treated with transfusion of packed red blood cells (PRBC) or platelets as the condition warrants. How should those products be prepared?
What is irradiated or leukocyte depleted?
What should a client experiencing mucositis be taught?
What is:
-Swish and spit or swallow Nystatin mouth rinse as ordered per HCP.
-use lidocaine supplements to help numb the oral cavities (per HCP)
-Eat soft bland foods; avoid spices and alcohol containing mouth rinses
Name an intervention a nurse could teach a male sickle cell client to treat priapism?
What is warm bath or warm compress, mild to moderate exercise, oral hydration, masturbation?