5 Written Questions

1. Past health history
   Medications
   Surgery or other treatments
2. Weakness
   Paresthesias of the feet and hands
   Ataxia
3. Common in older adults (R/t Chronic disease, Nutritional deficiencies)
   Signs and symptoms may go unrecognized or mistaken for normal aging changes
4. Inflammation of the tongue
5. ↑ Serum ferritin
   ↑ Iron stores
   Normal folate and cobalamin levels

5 Matching Questions

1. Cob. Def. Diagnostics
2. Iron deficiency Labs
3. Intrinsic factor (IF)
4. Nursing Diagnoses
5. gastric carcinoma

1. a Activity intolerance
   Imbalanced nutrition: less than body requirements
   Ineffective therapeutic regimen management
   Potential complication: hypoxemia
2. b Hb, Hct, MCV, MCH, MCHC, reticulocytes, serum iron, TIBC, bilirubin, platelets
3. c RBCs appear large
   Abnormal shapes
   Structure contributes to erythrocyte destruction
   ↓ Serum cobalamin levels
   Schilling test
4. d Protein secreted by the parietal cells of the gastric mucosa
5. e CD Anemics at high risk due to ↓ IF

5 Multiple Choice Questions

1. Caused by the body's response to tissue hypoxia
   Hemoglobin (Hb) levels are used to determine the severity of anemia
   1. Clinical Manifestations
   2. Cardiopulmonary Manifestations
   3. Iron deficiency clinical manifestations
   4. Integumentary Manifestations
2. End-stage renal disease
   Primary factor, ↓ erythropoietin
   Chronic liver disease
   Chronic inflammation
   Malignant tumors
   Chronic endocrine diseases
   1. Causes of Anemia of Chronic Disease
   2. Anemia of Chronic Disease Diagnostics
   3. Side effects of oral iron
   4. Anemia of Chronic Disease
3. ↓ Hemoglobin synthesis
   Defective DNA synthesis in RBCs
   Diminished availability of erythrocyte precursors
   1. Anemia of Chronic Disease Diagnostics
   2. 3 alterations in erythropoiesis that ↓ RBC production
   3. Erythropoietin (EPO)
   4. Important Health information
4. Hb 6-10 g/dl
   ↑ Cardiopulmonary symptoms
   Experienced at rest or during activity
   1. Mild Anemia
   2. Moderate Anemia
   3. Severe Anemia
   4. Iron-Deficiency Anemia
5. 120 days
   1. Anemia Patho
   2. Mild Anemia
   3. Life span of RBC
   4. Severe Anemia

5 True/False Questions

1. Iron-Deficiency Anemia → One of the most common chronic hematologic disorders

   True        False

2. Cardiopulmonary Manifestations → Additional attempts by the heart and lungs to provide adequate O2 to the tissues
   Cardiac output maintained by ↑ the heart rate and stroke volume

   True        False

3. Erythropoietin (EPO) → Inflammation of the tongue

   True        False

4. Anemia Patho → A deficiency in the:
   Number of erythrocytes (red blood cells [RBCs])
   Quantity of hemoglobin
   Volume of packed RBCs (hematocrit)

   True        False

5. Anemia of Chronic Disease → End-stage renal disease
   Primary factor, ↓ erythropoietin
   Chronic liver disease
   Chronic inflammation
   Malignant tumors
   Chronic endocrine diseases

   True        False