Peds Ch 43 Hematologic/Immunnologic dysfunction

Question 1

Nurse has initiated blood transfusion on a preschool child. The child begins to exhibit signs of a transfusion reaction.

Accepted Answer

B,A,D,C

Question 2

Which of the following is the most effective treatment for pain in a child w/ sickle cell crisis? Select All that apply

Accepted Answer

Morphine, Acetaminophen (Tylenol)

Question 3

What interventon should nurse share w/ parents on how to prevent iron deficiency anemia in healthy term breastfed infant

Accepted Answer

Iron-fortified infant cereal can be introduced at approx. 6 mos

Question 4

Which of following individuals is most likely to develop beta-thalassemia?

Accepted Answer

A child of mediterranean descent

Question 5

When teaching mom of a 9-mo. old infant about administering liquid iron preparations, the nurse should include that info

Accepted Answer

adequate dosage will turn the stools a tarry green color

Question 6

Which S+S should nurse expect when child diagnosed w/ sickle cell anemia experiences an acute vaso-occulsive crisis?

Accepted Answer

painful swelling of hands and feet, painful joints

Question 7

Iron dextran ordered for young child w/ severe iron deficiency anemia. What nursing consideration should be considered?

Accepted Answer

injecting deeply into a large muscle

Question 8

Which statement most accurately describes the pathologic changes of sickle cell anemia?

Accepted Answer

increased RBC detruction occurs

Question 9

Which assessment finding would indicate vaso-occlusive crisis in a child w/ sickle cell anemia?

Accepted Answer

pain w/ ambulation

Question 10

Nurse is planning activity for 4-yr-old child w/ anemia. Which activity should nurse plan for this child?

Accepted Answer

puppet play in the child's room

Question 11

Nurse is caring for child w/ SCD who's scheduled to have exchange transfusion. What info should nurse teach the family?

Accepted Answer

procedure is done to prevent further sickling during vaso-occlusive crisis

Question 12

Nurse taking care of child w/ sickle cell disease. Nurse is aware that which of following problems is assoc w/ SCD? SATA

Accepted Answer

vaso-occlusive crisis, aplastic crisis

Question 13

In order for a baby to be born w/ the condition Sickle cell which of the following must occur?

Accepted Answer

both parents must have the autosomal recessive trait

Question 14

Which of the following will be abnormal in a child w/ diagnosis of hemophilia?

Accepted Answer

Partial Thromboplastin time (PTT)

Question 15

See Below...

Accepted Answer

How much milk does your child drink per day?, What does your child eat everyday?

Question 16

School-aged child is admitted w/ vaso-occlusive sickle cell crisis. Child's care should include which intervention? SATA

Accepted Answer

pain management, adequate hydration

Question 17

Nurse educating parent w/ child w/ beta-thalassemia (Cooley anemia). Nurse informs parent that child's at risk for which

Accepted Answer

chronic hypoxia and iron overload

Question 18

See Below...

Accepted Answer

administer factor per home-care protocol

Question 19

Nurse is caring for child w/ SCD who scheduled for splenectomy. What info should nurse explain regarding reason for it?

Accepted Answer

to prevent splenic sequestration

Question 20

What should nurse teach about prevention of sickle cell crises to parents of preschool child w/ sick. cell disease? SATA

Accepted Answer

give penicillin as prescribed, notify the HCP if your child begins to develop symptoms of cold, notify HCP if a fever of 38.5 degrees C (101.3 F) or greater

Question 21

What is the most appropriate nursing diagnosis for child diagnosed w/ moderate anemia?

Accepted Answer

activity intolerance r/t generalized weakness

Question 22

What term is used to Identify a condition in which normal adult hgb is partly or completely replaced by abnormal hgb?

Accepted Answer

sickle cell anemia

Question 23

Nurse caring for child dx w/ thalassemia major whos receiving 1st chelation tx. What info should nurse give parent? SATA

Accepted Answer

eliminates excess iron, hydration is necessary for process to be effective

Question 24

Nurse assessing pt suspected of being in vaso-occlusive crisis. Which assessment findings =pt is having VOC of extremity

Accepted Answer

acute leg pain and hand-foot syndrome

Question 25

10 yr old w/ severe factor VIII deficiency falls, injures elbow & brought to ED. Nurse should prep which of following?

Accepted Answer

IV infusion of factor VIII

Question 26

The nurse has admitted pt w/ sickle cell crisis. What is the nurse's priority intervention?

Accepted Answer

increasing fluid intake and giving analgesics

Question 27

See Below...

Accepted Answer

circulatory overload

Question 28

What is the primary result of anemia?

Accepted Answer

decreased oxygen-carrying capacity of blood

Question 29

Nurse caring for 5-yr old w/ sickle cell vaso-occlusive crisis which of the following orders should nurse question? SATA

Accepted Answer

apply O2 per nasal cannula to keep O2 sat above 94%, restrict oral fluids, give meperidine (Demerol) 25 mg IV q4 hrs prn for pain

Question 30

Which statement best explains why iron deficiency anemia is common during toddlerhood?

Accepted Answer

Milk is poor source of iron

Question 31

Which of following measures should be taken to stop bleeding in child w/ hemophilia who was fell and injured knee? SATA

Accepted Answer

factor VIII should be administered, extremity should be elevated, immobilize the extremity

Question 32

Which of the following factors need(s) to be included in a teaching plan for a child w/ sickle cell disease? SATA

Accepted Answer

its important to keep the child well hydrated, its important to make sure the child gets adequate nutrition, emotional stress should be avoided, the child needs to be taken to the physician when sick

Question 33

Parents of child hospitalized w/ S Cell Anemia tell nurse they're concerned about narcotic analgesics causing addiction

Accepted Answer

narcotics rarely cause addiction when they're medically indicated

Question 34

Nurse is preping a tx plan for child w/ s cell anemia in vaso-occlusive crisis. Which is most imp. nursing intervention?

Accepted Answer

managing pain

Question 35

Nurse planning care for school-age child admitted to hospital w/ hemophilia. Which interventions should nurse plan? SATA

Accepted Answer

avoidance of IM injections, soft toothbrush for dental hygiene, acetaminophen for mild pain control

Question 36

Which of the following activities should the nurse suggest for a child diagnosed w/ hemophilia? Select All that Apply

Accepted Answer

fishing, golf, swimming

Peds Ch 43 Hematologic/Immunnologic dysfunction

Questions 36

Peds Ch 43 Hematologic/Immunnologic dysfunction

Questions 36