Chapter 3
Chapter 3.3: Check Your Knowledge – Clinical Scenario Part A Answer
- Based upon Sarah’s case presentation, what physical assessment findings and clinical manifestations are consistent with the presence of a possible hematological alteration?
Pallor, petechiae, bruising, swollen lymph nodes, shortness of breath, enlarged spleen, fatigue, and tenderness in sternum are findings indicating a possible hematological alteration.
Chapter 3.3: Check Your Knowledge – Clinical Scenario Continued Part B Answer
1. What laboratory and diagnostic tests would be helpful in diagnosing Sarah? Why?
Complete Blood Count (CBC): Provides information about the number and types of blood cells in the client’s bloodstream. It includes measurements of red blood cells (RBCs), white blood cells (WBCs), and platelets.
Peripheral Blood Smear: Assesses the size, type, and shape of the blood cells.
Coagulation Studies:
- Prothrombin Time (PT)/International Normalized Ratio (INR): Allows for examination of extrinsic factors (Factor VII) in the clotting cascade.
- Partial Thromboplastin Time (PTT): Evaluates intrinsic pathway of clotting factors (Factors VIII, IX, XI, and XII).
Bone Marrow Aspiration & Biopsy: Provide insight into the production and maturation of blood cells.
Iron Studies: Evaluate iron status within the blood.
Liver Function Tests: Examine any abnormalities in liver function that may impact the synthesis of clotting factors.
Hematological Case Study Answers
1. Which symptoms is Mia exhibiting that make you concerned about her hematological system?
The following symptoms would raise concern about Mia’s hematological system: fatigue, pallor, shortness of breath, sore gums, difficulty concentrating, and lack of iron-rich foods.
2. Which assessments and diagnostic tests do you anticipate the health care provider would initially do for Mia?
The health care provider would most likely require a food diary, vital signs, and complete blood count (CBC), with a focus on hemoglobin and hematocrit.
3. What modifications to Mia’s routine and lifestyle could assist her in symptom management?
The following modifications may help Mia with managing her symptoms: concentrate on iron-rich foods and supplement with over-the-counter iron recommended by her health care provider.
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