NR601 midterm terms NR601 midterm terms, Exams of Nursing

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NR601 midterm terms

Hyperthyroidism - ANS; excessive activity of the thyroid gland Low TSH Hight FT4/T QUESTION: Hypothyroidism - ANS; high TSH low FT4/T QUESTION: basal cell carcinoma (BCC) - ANS; malignant tumor of the basal layer of the epidermis; the most common type of skin cancer pearly nodule with prominently dilated vessels QUESTION: low H/H male - ANS; <13.2 white male <12.7 black male QUESTION: low H/H female - ANS; <12.2 white women <11.5 black women QUESTION: Microcyctic anemia - ANS; iron deficiency anemia, lead poisoning , thalassemia QUESTION: macrocyctic anemia - ANS; low folate, low b12, chemotherapy QUESTION: normal MCV (size) - ANS; 80- micro< Macro< QUESTION: MCH (the amount of hemoglobin in average RBC) - ANS; 27 -31 pg/cell QUESTION: MCHC (mean corpuscular hemoglobin concentration) (Color) - ANS; 31- g/dL normochromic, hyperchromic, hypochromic QUESTION: RDW (red cell distribution width) - ANS; 11.5-14.5 % measures the variability of size of the RBC QUESTION: iron deficiency anemia - ANS; a microcytic-hypochromic causes-GI track bleed, being on anticoag., primary GI disease, poor diet and iron intake, GI absorption issues

labs to check: serum iron level, TIBC, and serum ferritin level most common in older adult, for further evaluation do endoscopy QUESTION: B12 deficiency - ANS; pernicious anemia-loss of intrinsic factor and ability to uptake b12. other causes-PPI, H.pylor, gastric surgery symptoms- mouth ulcers and pale skin, fatigue and weakness, muscle cramps and chronic pain, headache, depression, memory loss, numbness and tingling in extremities, thinning of hair, constipation or diarrhea. QUESTION: treatment for B12 deficiency - ANS; 1000-2000 mcg B12 oral or sub-q for mild vit B 12 def 500-1000 mcg Po Daily QUESTION: Vit D def - ANS; 25(OH) D level less than 12 ng/ml causes: age<50, female gender, poor skin integrity, darker skin pigmentation, obesity, decreased time outdoors symptoms: bone pain and tenderness, muscle weakness, fracture, difficulty walking, osteoporosis, osteomalacia QUESTION: Vit D treatment - ANS; tx-if limited exposure to sunlight, supplementation is important IOM recommend adults up to 70 consume 600IU of vitamin D daily AGS recommend 1000 IU and 800-1000 for older adults 65 and up and achieve level of 30ng/ml *to prevent Osteoporosis, adult >50 take PO 800-1000unit/day to supplement dietary intake calcium supplementation 1.2-2g/day may be given in conjunction with vitamin D to maintain bone strength. QUESTION: how to evaluate vitamin D def - ANS; serum and urine calcium and to evaluate the effectiveness of vit D supplementation

QUESTION: Labs for iron deficiency anemia - ANS; Decreased serum ferritin (most reliable) Increased TIBC/transferrin Low TIBC Decreased serum iron Abnormal RDW (NL in all other microcytic anemias) QUESTION: Anemia of inflammation/chronic disease - ANS; -most common cause of anemia, -chronic inflammation process suppresses EPO in kidneys, increases hepcidin reducing iron gut absorption, spleen and hepatic macrophages destroy erythrocytes at high levels whos are risk- advance cancer, QUESTION: