The following three (3) questions are related to the same clinical scenario. A 78-year-old female patient presented to the Emergency Department complaining of palpitations, fatigue, dizziness, and exercise intolerance.  On physical assessment the patient was tachycardic and an apical systolic heart murmur was auscultated by the AGACNP.  Skin and conjunctival pallor were noted.  The patient’s blood pressure was 102/58 mmHg and her pulse oximetry showed O2 saturation of 97% on room air.   Laboratory results showed the following: hemoglobin 6.8 g/dL, MCV 70 fl, serum iron 43 ug/dL, TIBC 475 ug/dL, and low ferritin levels.  The AGACNP suspects this hematological disorder to be:

Anemia of chronic disease (ACD) differs from iron deficiency anemia (IDA) in which of the following ways?

A 62-year-old female presents with fatigue, glossitis, and numbness in her hands and feet. Her CBC reveals macrocytic anemia with an MCV of 112 fL. The AGACNP suspects _______ and orders a _______ to help confirm the diagnosis. 

Which of the hematologic conditions listed below are most commonly associated with a genetic pattern of inheritance?

When considering oral iron replacement therapy, the AGACNP knows which of the following statements to be true:

The next two (2) questions are related to the same clinical scenario: A 22-year-old male of Asian descent presents with fatigue, pallor, and a history of requiring intermittent blood transfusions since childhood. Physical exam reveals cranial abnormalities and hepatosplenomegaly. Laboratory studies show microcytic anemia with a normal iron panel.  The AGACNP most suspects this patient carries a diagnosis of:

The AGACNP initiates a management plan for this patient that includes the following:

For the above patient, the AGACNP initiates intravenous fluids, analgesics, oxygen therapy, and orders two units of PRBC.  The RN caring for the patient asks why PRBC transfusion was ordered.  The AGACNP’s best response to the RN is:   

In considering initial management for the above patient, the AGACNP orders which of the following: 

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