Question Joanne is a 70-year-old female who had experienced increased difficulty walking, 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  Significance  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 2534 Share QuestionEmailCopy link Comments (0)

Question Joanne is a 70-year-old female who had experienced increased difficulty walking, 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  Significance  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 2534 Share QuestionEmailCopy link Comments (0)