Hematology

Name that Anemia

100

This type of anemia can be caused by blood loss

Iron-deficiency anemia

200

This type of anemia is common amongst patients who have had a gastrectomy or gastric surgery

Cobalamin Deficiency Anemia

300

Chemotherapy patients are at risk for this type of anemia

Aplastic Anemia

400

Alcoholics and patient's with malabsorpition syndromes are at risk for this type of anemia

Folic Acid deficiency Anemia

500

Sickle cell patient's are at risk for this type of anemia

Hemolytic anemia

Nutrition

100

Name 3 foods you would encourage a patient to consume who has iron deficiency anemia

Red meat, pork, poultry, seafood, beans, leafy greens, dried fruits, iron fortified cereals, peas

200

Vegetarians are at high risk of developing this type of anemia

Vitamin b12 (cobalamin) deficiency anemia

300

You are caring for a vegetarian patient who has vitamin b12 deficiency anemia. Name 2 foods you could encourage the patient to eat. 

low-fat milk, yogurt, cheeses, fortified breakfast cereal

400

You are caring for a patient with folic acid deficiency anemia. Name 2 foods you could encourage the patient to consume. 

leafy greens, liver, meat, fish, legumes, whole grains

500

Your patient is on iron and complains of constipation. Name 2 foods you could encourage the patient to consume which would help with constipation. 

prunes, apple, pear, kiwi, greens, figs, sweet potato, beans, peas, lentil, flax seed, oat bran

Clinical Manifestations

100

Name the lab value that can indicate the degree of anemia

hemaglobin

200

Name 3 characteristics of anemia that can be found in any type of anemia

Pallor, SOB, weakness, dizziness, fainting, hypotension, palpitations, chest pain, MI, tachycardia, splenic enlargement

300

Name 2 cardiorespiratory symptoms that a patient with anemia may exhibit

tachycardia, hypotension, SOB, tachypnea, dysrrhythmia

400

Name 2 integumentary changes you may see in a patient with anemia

pallor, jaundice, puritis

500

At what hemaglobin value would a patient with chronic anemia potentially receive a blood transfusion. 

Hgb < 7

Hematologic Conditions

100

This hematologic condition is characterized by RBC with an abnormal shape known as Hgb S

Sickle Cell Disease

200

You are the nurse caring for a patient on Heparin. Your platelet count on the most recent blood draw is 90,000. What should you do?

Stop the heparin and contact the provider. Concern is for Heparin induced thrombocytopenia (HIT) 

300

You are an ER nurse caring for a patient who c/o epistaxis, petechiae, and areas of bruising. What hematologic condition do you suspect?

thrombocytopenia

400

DIC is a condition in which abnormalities in clotting activation leads to what 2 conditions

bleeding and thrombosis

500

You are a nurse caring for a patient with hemophilia who fell from a ladder while hanging Christmas lights. You anticipate administration of ________

Administration of clotting factors. 

Treatments

100

Your leukemia patient has an ANC <1. What should the nurse initiate?

Neutropenic precautions

200

You are the nurse caring for a female in an OB clinic with a hgb of 9. She has been having heavy periods over the past 10 months. What treatment do you anticipate?

iron supplement

300

Name 2 treatments that can help to reduce the frequency of sickle cell crisis

Hydroxyurea, encourage hydration, avoid high-altitudes or infections, bone marrow transplant

400

You are caring for a patient in sickle cell crisis name 3 priority treatments for this patient. 

Applying O2, administer pain medications, administer fluids, administration of PRBC in severe anemia

500

Name 2 anticipated treatments for a patient with polycythemia

Phlebotomy, hydration, allopurinol, anti-platelet, myelosuppressive therapy