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3802 Test 3

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Where is the site of production of blood cells?   In the bone marrow  
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Where do all blood cells develop from?   A common stem cell  
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What is bone marrow?   soft material that fills the core of bones  
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What are the three functions of blood?   Transportation: oxygen, nutrients, hormones, and waste products. Regulation:fluid, electrolytes, and acid-base balance. Protective role:coagulation & fighting infections.  
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Erythopoiesis   Production of RBC's  
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Erythopoiesis is controlled by.... and synthesized by...?   Controlled by a hormone and synthesized by the kidneys  
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What condition can cause anemia r/t the kidney?   Kidney disease  
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What do RBC's do?   transport gases; maintains acid-base balance  
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What are the functions of the spleen?   produces RBC's, filters out old RBC's, filters out microorganisms, stores lymphocytes and monocytes, and stores platelets.  
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When does the spleen produce RBC's?   During fetal development  
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What are lymph nodes?   Clumps of lymphatic tissue  
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What are the functions of the lymph system?   Carries lympth fluid from the interstitial spaces to the blood, removes proteins and fat from the GI tract to the circulatory system, returns excess interstitial fluid to the blood.  
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The liver acts as a ....?   FILTER  
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What does the liver do r/t clotting?   Produces all the clotting factors necessary for homeostasis and blood coagulation.  
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What FACTORS leading to anemia?   A deficiency in the number of RBC's, the quantity of hemoglobin, and/or the volume of packed RBC's.  
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T/F? Anemia is a disease determined by lab findings.   FALSO! Anemia is NOT a disease. But CAN be determined by lab findings.  
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Anemia can lead to ...what?...r/t the tissue?   anemia can lead to tisse hypoxia  
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What are the three CAUSES of anemia?   decreased erythrocyte production, blood loss, increased erthrocyte destruction.  
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Mild anemia indications what values r/t hemoglobin?   10-14 hemoglobin levels indicate mild anemia  
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Moderate anemia indicates hemoglobin values to be...?   6-10  
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Severe anemia shows hemoglobin values to be ranging at?   less than 6  
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What S&S will a Pt be experiencing if they had mild to moderate anemia?   Pale, palpitations, and exertional dyspnea  
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Severe anemic Pt's will experience which S&S?   Tachycardia, impaired thought processes, wt loss, lethargy, and anorexia.  
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What age group is anemia most common in?   Older adults  
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Since older adults experience anemia more commonly than others, what factors r/t age determine this fact?   Older adults experience chronic disease and poor nutrition. The aging process itself is a possibility. The general population can experience anema if they also have chronic disease and poor nutrition.  
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Reticulocyte   immature RBC  
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Hemolysis   RBC breakdown  
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How long do RBC survive in the blood?   120 days  
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What is the normal percentage for neutrophils, basophils, eosinophils, monocytes, and lymphocytes?   N = 55-70%; L = 20-40%; Monocytes = 5-10%; E = 1-4%; B = 0-1%  
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If the vascular system is affected by oxygen perfusion what S&S will a Pt experience?   HTN, syncope, or fatigue  
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Cardiac Output   amnt of blood pumped by the heart ea minute  
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What is the normal amnt of cardiac output in a resting adult?   4-8 Liters  
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What two factors r/t cardiac output?   Heart rate and stroke volume  
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Stroke volume   amnt of blood the heart ejects with ea beat  
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CO = ? X ?   Cardiac outout= HR X SV  
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preload   amnt of blood in the ventricles at the end of diastole, before the next contraction; r/t amnt of "stretch" & amnt of contractility  
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Afterload   peripheral resistance again which the L ventricle must pump  
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Distribution of blood flow (arteries, capillaries, veins), tissue perfusion, and blood are a part of which system?   Vascular system  
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what is tissue perfusion?   flow of blood through the body tissues  
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How will a nurse assess for tissue perfusion?   By cking skin temp; color of skin, mucous membranes, nailbeds; capillary refill; palpation of pulses; edema; hair distribution; BP  
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what are the three effects of aging r/t cardiac function? (Not physiologically)   Atherosclerosis, HTN, and cardiac failure.  
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Due to cardiac failure, HTN, and atheroschlerosis from the effects of aging, what physiologically will happen to the body as a results of these normal changes?   decreased cardiac contractility, decreased response to increased work, decreased number of pacemake cells, valve incompetence, and increased BP.  
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What are the unmodifiable risk factors of CAD?   age, gender, ethnicity, and genetic influence  
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What are the modifiable risk factors that are not contributing that are associated with CAD?   increased lipids, HTN, smoking, obesity, physical activity  
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Which are the contributing modifiable factors assoc with CAD?   Diabetes and stress  
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Percentage of ppl who have primary HTN? What is cause?   90-95% without identified cause  
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What is the prehypertension guidelines?   120/80-139/90  
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With fatigue, subjective sensation leads to a loss of what?   Endurance  
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How will fatigue affect the heart?   frequently indicates a worsening of the chronic cardiac process  
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T/F: A nurse can use a 1-10 scale to assess.   TRUE  
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Syncope   brief loss of consciousness  
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Syncope may be... due to cardiac arrhythmia, or orthostatic hypotension?   vasovagal  
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What does the heart needs after syncope?   A cardiac workup  
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What are the findings that may indicate cardiovascular problems?   chest pain, fluid retention, irregular HR, fatigue, syncope, tenderness in calf, and altered neurological function  
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