KNS20403 NURSING CARE II

TINA NURHAYATI (012020092298)

Quiz 2
Question
1. Describe the following types of anemia
a. Iron deficiency
b. Aplastic anemia
c. Sickle cell anemia
2. List four clinical manifestation of anemia
3. Explain five nursing management for client with anemia disorder
Answer
1. a. Iron deficiency anemia it is caused by a lack of iron. It develop when body store of
iron drops too low to support normal RBCs production
b. aplastic anemia it is a rare disease in which the bone marrow and hematopoietic stem
cells that are damaged leads to pancytopenia (deficiency of all three cellular components
of the blood such as red cells,white cells and platelets)
c. sickle cell anemia it is characterized by RBC that assume the abnormal,rigid,sickle
shape. It results from the presence of mutated from of a Hb

2. Easy fatigue and loss energy,hypotension,rapid heart rate when exercise,shortness of

breath and headache in exercise,difficulty in concentration
3. 1. improve tissue perfusion
The nurse monitor the vital sign closely
Lost volume replaced with blood transfusion or IV fluids
Supplemental oxygen may be necessary but it is reraly needed on a long term basis
Other medication such as antihypertensive agent may be needed to be adjusted
2. improve nutrition level
A healthy diet should be encourage
Avoid alcoholic beverages
Dietary teaching session should be individualized including culture aspect related to food
preference and food preparation
3 improve the activity intolerance
Assist the patient to prioritize the activities and a establish balance between the activity
and rest that is realistic and feasible from the patient prespective
4 people with this condition should take fplic acid supplements. Folic acid helps make
new red blood clells. Blood transfusion
5 replacement therapy in case of poor absorption by the intestine