Description

Edapt NR507 Week 2 Hematological Disorders

Name: (Completed) Edapt NR507 Week 2 Hematological Disorders
SKU: 771
Availability: InStock

Causes of Anemia

Which items should the nurse practitioner (NP) recognize as potential causes of anemia? Select all that apply.

Strict vegan diet

Esophageal varices

Polycythemia

Anorexia

Sickle cell disease

Janelle Smith (pronouns she/her/hers), 45 years old

Chief Complaint: Fatigue, weakness, and shortness of breath

Medical History: Presents with a three-month history of increasing fatigue and weakness, along with shortness of breath upon exertion; Reports a gradual onset of these symptoms and mentioned that they have been progressively worsening

Menstrual History: Reports heavy menstrual bleeding for the past six months, requiring frequent changes of sanitary pads

Health Habits: Follows a vegetarian diet and admits to not eating a well-balanced diet with iron-rich foods; Does not exercise

Medical Conditions: History of heavy menstrual periods; Diagnosed with ulcerative colitis

Medication History: Vitamin B-12 supplements

Chief Complaint: Fatigue and Dyspnea with Exertion

History of Present Illness:

Anika Hernandez (pronouns she/her/hers), 36 years old, was admitted to the medical-surgical unit for complications post-gastric bypass surgery 3 months ago; Reports weight loss of 32 pounds (14.5 kg) since surgery and new onset of dyspnea on exertion

Review of Systems:

General: Fatigue

Neurological: Alert and oriented to person, place, time, and situation (A&O x 4); Pupils equal, round, reactive to light, and accommodation (PERRLA)

Cardiovascular: Regular rate and rhythm (RRR); S1 S2 present; Sinus tachycardia on monitor

Respiratory: Respirations even and unlabored at rest; Lungs clear to auscultation (CTA)

Gastrointestinal: Within normal limits; Reports regular bowel movements

Genitourinary: Within normal limits (WNL); Last menstrual period (LMP) was 1 week ago

Integumentary: Pale and cool skin; Capillary refill less than 3 seconds; No bruising noted.

Home Medications: Calcium carbonate, vitamin C, birth control, acetaminophen PRN

Chief Complaint: Fatigue and Dizziness after Physical Activity

History of Present Illness: Camila Perez, a 15-year-old female, presents with a 2-week history of fatigue and dizziness following basketball sessions. She notes a decline in her ability to finish games, despite having no issues earlier in the season. Shortness of breath is reported but tends to resolve after 20–30 minutes of rest. No recent illnesses or injuries have been reported. Camila acknowledges feeling irritable lately, attributing it to her dissatisfaction with her performance compared to previous seasons. She has adopted a vegan diet, incorporating plant-based protein, for the past 6 months to promote overall health.

Review of Systems:

General: Fatigue

Respiratory: Shortness of breath relieved with rest

Psychiatric: Irritability and sadness related to performance

Medications: None reported

Allergies: None reported

Social History: Vegan diet with plant-based protein for the last 6 months; Regular participation in basketball activities

Family History: No significant family history reported

Vital Signs: Temperature: 98.4°F; Heart rate: 116 bpm; Respiratory rate: 18 breaths per minute; Blood pressure: 106/80 mmHg; Pulse oximetry: 98%

Physical Examination: Camila appears fatigued but is alert and oriented. No acute distress observed. Cardiovascular and respiratory examinations within normal limits. No signs of injury noted. Neurological examination unremarkable.