The nurse explains to the parents of a 1-year-old child admitted to the hospital in a sickle cell crisis that the local tissue damage the child has on admission is caused by which of the following? A. Autoimmune reaction complicated by hypoxia. B. Lack of oxygen in the red blood cells. C.… Read More »
The mothers asks the nurse why her child’s hemoglobin was normal at birth but now the child has S hemoglobin. Which of the following responses by the nurse is most appropriate? A. “The placenta bars passage of the hemoglobin S from the mother to the fetus.” B. “The red bone marrow does not begin to… Read More »
The nurse has just admitted a 35-year-old female client who has a serum B12 concentration of 800 pg/ml. Which of the following laboratory findings would cue the nurse to focus the client’s history on the specific drug or alcohol abuse? A. Total bilirubin, 0.3 mg/dL B. Serum creatinine, 0.5 mg/dL C. Hemoglobin,… Read More »
Which of the following would the nurse identify as the priority nursing diagnosis during a toddler’s vaso-occlusive sickle cell crisis? A. Ineffective coping related to the presence of a life-threatening disease B. Decreased cardiac output related to abnormal hemoglobin formation C. Pain related to tissue anoxia D. Excess fluid volume related… Read More »
A mother asks the nurse if her child’s iron deficiency anemia is related to the child’s frequent infections. The nurse responds based on the understanding of which of the following? A. Little is known about iron-deficiency anemia and its relationship to infection in children. B. Children with iron deficiency anemia are more susceptible… Read More »
Which statements by the mother of a toddler would lead the nurse to suspect that the child has iron-deficiency anemia? Select all that apply. A. “He drinks over 3 cups of milk per day.” B. “I can’t keep enough apple juice in the house; he must drink over 10 ounces per day.” C.… Read More »
Which of the following foods would the nurse encourage the mother to offer to her child with iron deficiency anemia? A. Rice cereal, whole milk, and yellow vegetables B. Potato, peas, and chicken C. Macaroni, cheese, and ham D. Pudding, green vegetables, and rice Correct Answer: B.… Read More »
The physician has ordered several laboratory tests to help diagnose an infant’s bleeding disorder. Which of the following tests, if abnormal, would the nurse interpret as most likely to indicate hemophilia? A. Bleeding time B. Tourniquet test C. Clot retraction test D. Partial thromboplastin time (PTT) Correct Answer: D.… Read More »
Which of the following assessments in a child with hemophilia would lead the nurse to suspect early hemarthrosis? A. Child’s reluctance to move a body part. B. Cool, pale, clammy extremity. C. Ecchymosis formation around a joint. D. Instability of a long bone in passive movement. Correct… Read More »
Because of the risks associated with administration of factor VIII concentrate, the nurse would teach the client’s family to recognize and report which of the following? A. Yellowing of the skin B. Constipation C. Abdominal distention D. Puffiness around the eyes Correct Answer: A. Yellowing of the… Read More »