. An accurate description of anemia is:
a. Increased blood viscosity.
b. Depressed hematopoietic system.
c. Presence of abnormal hemoglobin.
d.
... [Show More] Decreased oxygen-carrying capacity of blood.
ANS: D
Anemia is a condition in which the number of red blood cells or hemoglobin concentration is
reduced below the normal values for age. This results in a decreased oxygen-carrying capacity
of blood. Increased blood viscosity is usually a function of too many cells or of dehydration,
not of anemia. A depressed hematopoietic system or abnormal hemoglobin can contribute to
anemia, but the definition depends on the deceased oxygen-carrying capacity of the blood.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1362
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
2. Several blood tests are ordered for a preschool child with severe anemia. She is crying and
upset because she remembers the venipuncture done at the clinic 2 days ago. The nurse should
explain that:
a. Venipuncture discomfort is very brief.
b. Only one venipuncture will be needed.
c. Topical application of local anesthetic can eliminate venipuncture pain.
d. Most blood tests on children require only a finger puncture because a small amount
of blood is needed.
ANS: C
Preschool children are very concerned about both pain and the loss of blood. When preparing
the child for venipuncture, a topical anesthetic will be used to eliminate any pain. This is a
very traumatic experience for preschool children. They are concerned about their bodily
integrity. A local anesthetic should be used, and a bandage should be applied to maintain
bodily integrity. A promise that only one venipuncture will be needed should not be made in
case multiple attempts are required. Both finger punctures and venipunctures are traumatic for
children. Both require preparation.
PTS: 1 DIF: Cognitive Level: Application REF: 1365
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
3. The most appropriate nursing diagnosis for a child with anemia is:
a. Activity Intolerance related to generalized weakness.
b. Decreased Cardiac Output related to abnormal hemoglobin.
c. Risk for Injury related to depressed sensorium.
d. Risk for Injury related to dehydration and abnormal hemoglobin.
ANS: A
TEST BANK FOR MATERNAL CHILD NURSING CARE 5TH EDITION BY PERRY
NURSINGTB.COM
N U R S I N G T B . C O M
The basic pathology in anemia is the decreased oxygen-carrying capacity of the blood. The
nurse must assess the child’s activity level (response to the physiologic state). The nursing
diagnosis would reflect the activity intolerance. In generalized anemia no abnormal
hemoglobin may be present. Only at a level of very severe anemia does cardiac output become
altered. No decreased sensorium exists until profound anemia occurs. Dehydration and
abnormal hemoglobin are not usually part of anemia.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1365
OBJ: Nursing Process: Diagnosis MSC: Client Needs: Physiologic Integrity
4. Which statement best explains why iron deficiency anemia is common during toddlerhood?
a. Milk is a poor source of iron.
b. Iron cannot be stored during fetal development.
c. Fetal iron stores a [Show Less]