Joanne is a 70-year-old female who had experienced increased difficulty
Question Answered step-by-step Joanne is a 70-year-old female who had experienced increased difficultywalking, driving, ADLs and performing normal social activities over the last 2 years. She just had her left knee replaced yesterday secondary to osteoarthritis. She is currently receiving pain management assistancewith functional mobility and surgical wound care. Her medical history includes the following: Osteoarthritis Iron deficiency anemia Hypertension Does not smoke or drink The nurse assessed Joanne this morning and found the following assessment findings: -Marked fatigue -Pallor, pale conjunctiva -Nausea -Brittle nails -Reports craving ice -Sore tongue -Wounds dressing with large amount of serosanguinous drainage -Shortness of breath -VS: BP 110/75, HR 106, RR 22, Temp 36.2 C, O2 95% on room air -Labs: RBC 3.5 x 1012/L, Hemoglobin 7.1 g/dl, Hct 23%, WBC 5,400 mm3, platelets 450,000 mm3; Mean Corpuscular volume (MCV) is 74 fl -Explain the significance of each of the following in relation to anemia: Lab Results Hemoglobin 7.1 g/dl MCV 74 fl HR 106 bpm RR 22 bpm BP 110/75 O2 Sat 95% on room air -What assessment findings suggest this client might have anemia? -What are the risk factors for anemia for this client? -Identify 3 other tests that could be performed to diagnose iron deficiency anemia? -Explain how each test listed above can help to diagnose iron deficiency anemia? -Explain the morphology of the red blood cells found in iron deficiency anemia from a peripheral smear. -What assessment finding suggests the concern of shock and what type of shock? -Explain the pathophysiology and significance of the identified assessment finding above in relation to shock. -What 2 early assessment findings should the nurse watch for that may indicate the patient may be experiencing shock? -Identify and explain 2 diagnostic tests used to establish the diagnosis of hypovolemic shock. Health Science Science Nursing NURSING PNP301 Share QuestionEmailCopy link Comments (0)


