1. You are assessing children in an ambulatory clinic. Which child would be most likely to have iron-deficiency anemia?
A) A 3-month-old boy who is
... [Show More] totally breast-fed.
B) A 15-year-old girl who has heavy menstrual periods.
C) An 8-year-old girl who carries her lunch to school.
D) A 7-month-old boy who has started table food.
2. Which assessment below would increase your suspicion that iron-deficiency anemia may be present in a child?
A) A 3-month-old boy sucks his thumb.
B) A 15-year-old girl constantly sucks ice cubes.
C) An 8-year-old girl is shy and does not participate in class.
D) A 7-month old boy does not say whole words yet.
3. A 9-month-old boy with iron-deficiency anemia is given ferrous sulfate therapy. Which of the following assessments would best help you determine that he is actually taking it daily?
A) His reticulocyte count will have decreased.
B) He will develop diarrhea.
C) His stools will appear black.
D) He will be less irritable than he was at his last visit.
4. Some children with iron-deficiency anemia may be prescribed iron dextran by injection. This should be injected
A) intradermally.
B) subcutaneously.
C) intramuscularly.
D) via Z-track technique.
5. A 6-year-old is suspected of having aplastic anemia. For diagnosis, he will have a bone marrow aspiration. To prepare him for this, you would explain that
A) the procedure will be done under general anesthesia.
B) a narrow needle is used so he will not feel pain.
C) he can expect to experience leg pain afterward.
D) he will have to lie on his stomach for the aspiration.
6. A child's anemia was caused by exposure to an insecticide. What advice would you give his parents on discharge from the hospital?
A) He should eat a high-protein diet to maintain his energy.
B) He must return to the hospital for desensitization to the insecticide.
C) He must not be further exposed to the insecticide.
D) He will need to be administered a chelating agent weekly.
7. A 10-year-old boy with hemophilia A slipped on the ice and bumped his knee. Which emergency measure would you teach him to do at home?
A) Apply a tourniquet to decrease blood flow to the area.
B) Begin an intravenous infusion of factor VIII.
C) Administer an injection of factor X.
D) Apply a warm compress to increase blood absorption.
8. A boy with hemophilia A is scheduled for surgery. Which of the following precautions would you institute with him?
A) Handle him gently when transferring him to a stretcher.
B) Caution him not to brush his teeth before surgery.
C) Do not allow a dressing to be applied postoperatively.
D) Mark his chart for him to receive no analgesia.
.
9. A child with hypoplastic anemia develops hemosiderosis. The therapy for this is
A) ferrous sulfate.
B) deferoxamine.
C) prednisone.
D) aspirin.
10. You care for a 4-year-old with sickle cell anemia. A physical finding you might expect to see in him is
A) enlarged mandibular growth.
B) depigmented areas on the abdomen.
C) increased growth of long bones.
D) slightly yellow sclerae.
11. A school-age child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in his care should be given priority?
A) Beginning active range-of-motion exercises.
B) Seeing that he ingests a protein-rich diet.
C) Maintaining a fluid intravenous line.
D) Encouraging him to take deep breaths hourly.
12. To prevent further sickle cell crisis, you would advise the parents of a child with sickle cell anemia to
A) notify a health care provider if the child develops an upper respiratory infection.
B) prevent the child from drinking an excess amount of fluids per day.
C) encourage the child to participate in school activities, such as long-distance running.
D) administer an iron supplement daily.
13. A 9-year-old girl is admitted to the hospital with a diagnosis of idiopathic thrombocytopenic purpura. When assessing her, a finding you would expect to discover is
A) purpural lesions on her forehead and chest.
B) purple lesions on the roof of her mouth.
C) a hemorrhagic rash on the lower extremities.
D) vesicular lesions along the fifth cranial nerve.
14. Which nursing diagnosis would be most appropriate for a child with idiopathic thrombocytopenic purpura?
A) Ineffective tissue perfusion related to poor platelet formation.
B) Risk for altered urinary elimination related to kidney impairment.
C) Risk for infection related to abnormal immune system.
D) Ineffective breathing pattern related to decreased white blood count.
15. When planning care for a child with idiopathic thrombocytopenic purpura, you plan to teach her
A) what foods are high in folic acid.
B) not to pick or irritate her nose.
C) to use mainly cold water to wash.
D) to apply a soothing cream to lesions.
16. An adolescent is scheduled for a splenectomy. What important measure should you teach him following this?
A) He will always be anemic.
B) Penicillin will probably be prescribed.
C) There will be long-term effects on immunity.
D) A bleeding tendency will be present.
17. A school-age girl has been told that she has thalassemia minor. Her mother is extremely upset at hearing the diagnosis. Which nursing diagnosis would be most appropriate?
A) Anxiety (maternal) related to uncertainty about the child's prognosis.
B) Impaired tissue perfusion related to anemia state.
C) Compromised family coping related to diagnosis of fatal disease in a family member.
D) Impaired gas exchange related to abnormal blood cells.
18. You would teach the mother of a child with thalassemia minor which of the following information to eliminate her deficient knowledge?
A) No treatment is indicated for her daughter's disorder.
B) Her daughter's activity tolerance may be affected.
C) A minimal decrease in life expectancy can be expected.
D) A child with this disorder is prone to bleeding.
19. A child who has anemia requires a blood transfusion. Which form of blood product is most often used in children?
A) Plasma.
B) Washed RBCs.
C) Whole blood.
D) Packed RBCs.
20. A female adolescent who has had a stem cell transplantation will need teaching about possible side effects from the posttransplantation medications. Which side effect would be of most concern for this adolescent?
A) Hirsutism.
B) Hair loss.
C) Weight loss.
D) Joint pain. [Show Less]