Based on smear morphology and the red blood cell indices (mean cell volume [MCV], mean cell hemoglobin [MCH], mean corpuscular hemoglobin concentration [MCHC]), the patient has a severe microcytic, hypochromic anemia most likely caused by iron deficiency (see Chapter 5).

Based on smear morphology and the red blood cell indices (mean cell volume [MCV], mean cell hemoglobin [MCH], mean corpuscular hemoglobin concentration [MCHC]), the patient has a severe microcytic, hypochromic anemia most likely caused by iron deficiency (see Chapter 5). This was confirmed by iron studies showing: Serum iron – I 0 Jlg/dl,TIBC – 460 Jlg/dl, % saturation – 2% Serum ferritin – 3 Jlg/L The history of repeated epistaxis and the positive test for blood in the stool strongly suggest chronic blood loss as the etiology of the iron deficiency. This obviously will require a careful workup of the gastrointestinal (GI) tract for a bleeding site and any correctable anatomic lesion. At the same time, a search for a coagulation defect is in order. Therefore, additional screening laboratory studies of importance include PT/international normal ized ratio (INR), aPTT, platelet function studies, and vWF antigen and activity (see Chapter 29). The following results were obtained in this patient PT/INR – 1 3.1 sec (< 1=”” 4.0=”” sec)/=”” 1.10=””>< 1=”” .30)=”” aptt=”” -=”” 28.9=””>

find the cost of your paper

explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given….

Describe how these conditions might affect how APNs provide care in these settings?

Select a care environment where advanced practice registered nurses (APRNs) may practice. Some examples to choose from may include: Rural health clinic Emergency department Urgency care Community health center Family….

How will you evaluate whether your implementation was effective?

Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practices and help improve client outcomes on a psychiatric….