Adult Health 1 Study Guide

Hematologic (Blood) Unit 

Chapters 32, 63-64 

Remember that assigned textbook readings should be supplemental to reviewing & studying the Powerpoint presentations. Answers to these study guide questions can be obtained from the textbook chapters, powerpoint presentations, as well as class lectures & in-class activities. 

Chapter 32: Assessment of Hematologic Function & Treatment Modalities – (p. 917-922)

*This chapter is an A&P overview of the hematologic system structures, assessment, & diagnostics. 

Must Know: Blood Transfusions – (p. 917-922)

1. Describe the pre-transfusion assessments & nursing care that is necessary for patients who are to receive a blood transfusion. See Chart 32-2. 

2. Describe the nursing care involved when initiating a blood transfusion for a patient. See Chart 32-2. What additional checks need to be made before hanging & starting the blood transfusion?

3. Describe the nursing care involved following completion of a blood transfusion for a patient. See Chart 32-2.

4. There are many different types of transfusion reactions that can occur in patients. What are some signs and symptoms of transfusion reactions? 

5. What should the nurse do if he/she suspects the patient is having a transfusion reaction? 

Chapter 33: Management of Patients with Nonmalignant Hematologic Disorders – (p. 925-931, p. 933-941)

Conditions to Know: Anemias, Iron deficiency anemia, Megaloblastic anemia, Pernicious anemia, Sickle cell anemia 

1. What is anemia and what are some of the common causes of this condition? 

2. What are some risk factors for anemia?

3. What are some signs and symptoms of anemia? 

4. What lab values or cultures do we look at to diagnose anemia? 

5. What is iron-deficiency anemia and what is the most common cause? 

6. What is the primary treatment method for iron-deficiency anemia? What are patient teaching points we would want to include in our patient education regarding this treatment modality? See Chart 33-3. 

7. Patients with iron-deficiency anemia should also be encouraged to consume foods high in iron. What are some foods that are high in iron that we should recommend? 

8. Megaloblastic anemias develop slowly (over months) and the body can compensate well for a long time before symptoms of anemia will develop. The erythrocytes produced in this type of anemia are abnormally large. Megaloblastic anemia results from a deficiency of which two sources? 

9. What are risk factors for the development of folic acid deficiency anemia?

10. What is pernicious anemia? 

11. What are some signs and symptoms of pernicious anemia? 

12. How is folic acid deficiency and pernicious anemias treated? What teaching points would we want to include in our patient education regarding this treatment modality? 

13. What are foods that are high in folic acid or vitamin B12? 

14. What is sickle cell anemia & how do patients inherit this disorder? 

15. Describe the nursing care that is necessary when caring for a patient in sickle cell crisis. 

 

View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media.

In a 1,000-1,250-word paper, examine the scenario involving Mike, the lab technician, and discuss the following:

1. Discuss the consequences of a failure to report.
2. Explain the impact his decision had on patient safety and organizational performance (risk for litigation, organization’s quality metrics, workload of other hospital departments, etc.).
3. As Mike’s manager, describe how you would address the issue with him and steps you would take to ensure other staff members do not repeat the same kind of mistake.
4. Reflect on the scenario and describe what underlying aspects or issues may be contributing to workplace dilemmas such as this.
5. Consider the manner in which most health care organizations function (structure, people, technology, environment). As a leader, discuss what principles of organizational behavior and development can be applied to effectively contribute to the success of a health care organization. How could these principles be applied to this scenario?

A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Benchmark Information

This benchmark assignment assesses the following programmatic competency:

BS Health Sciences

4.1: Apply the principles of organizational behavior and development in order to effectively contribute to the success of health care organizations.