Page 453 - Documents for the COPC of BS Nursing Program

CAGAYAN STATE UNIVERSITY 12
NCM 112

b. Bone Marrow with problems in - Case study nursing (15th
Aspiration and Biopsy hematolymphatic Clinical Scenario: analyses and ed.). Wolters
C. Nursing Diagnosis system presentations Kluwer.
D. Planning of Nursing Care for Clients Background Information: Ms. - Reflective
with Altered Hematolymphatic B. Conduct a thorough Anita L., a 52-year-old high
Function nursing assessment of school teacher, presents to her journals
1. Anemia such clients through primary care provider with - Clinical
a. Hemorrhagic Anemia complaints of feeling unusually performance
b. Hypoproliferative interview and physical tired and weak for the past three evaluations
Anemia assessment months. She mentions that she during
i. Iron Deficiency has been experiencing difficulty practicum
ii. Aplastic Anemia C. Formulate concentrating and that her work
iii. Megaloblastic appropriate nursing performance is suffering.
Anemia diagnosis for clients Recently, she has also noticed
a) Folate with Alteration in that she gets out of breath easily
Deficiency hematolymphatic when climbing stairs, which was
b) B12 function not an issue before.
Deficiency
(Pernicious) D. Plan, Implement and Case Details: Ms. Anita's diet is
c. Hemolytic Anemia Evaluate Appropriate primarily vegetarian, and she
2. Proliferative Disorders Nursing Interventions admits that she often skips
a. Myeloproliferative meals due to her busy schedule.
Disorders needed by clients with Physical examination reveals
i. Polycythemia hematolyphatic pale skin and a smooth, red
ii. Polycythemia problems tongue. Laboratory tests show
Vera macrocytic anemia with a mean
iii. Myelogenous corpuscular volume (MCV) of
Leukemia 110 fL (normal: 80-96 fL). A
b. Lymphoproliferative peripheral blood smear shows
Disorders hypersegmented neutrophils.
i. Multiple Her vitamin B12 levels are
Myeloma markedly low.
ii. Lymphocytic
Leukemia Questions for Discussion:

F-ODI-2056
Revision No. 07 January 31, 2024