NURS 410 PREPU Comprehensive Exam Questions With Answers-A 5-year-old girl with sickle-cell disease has had a temper tantrum in the office waiting room,
... [Show More] and the mother has dealt with it inadequately. How should the nurse address the parent's apparent lack of discipline when the pair is in the examination room?
- "How did feel about your daughter's behavior in the waiting room?"
A toddler who is beginning to walk has fallen and hit his head on the corner of a low table. The caregiver has been unable to stop the bleeding and brings the child to the pediatric clinic. The nurse is gathering data during the admission process and notes several bruises and swollen joints. A diagnosis of hemophilia is confirmed. This child most likely has a deficiency of which blood factor?
- Factor VIII
The child with thalassemia may be given which classification of medication to prevent one of the complications frequently seen with the treatment of this disorder?
- Iron-chelating drugs
A child is diagnosed with sickle cell anemia. Which test will the nurse expect the primary health care provider to prescribe for this client?
- Hemoglobin level
A nurse is caring for a 7-year-old boy with hemophilia who requires an infusion of factor VIII. He is fearful about the process and is resisting treatment. How should the nurse respond?
- "Would you help me dilute this and mix it up?"
When caring for a 7-year-old client diagnosed with sickle cell anemia, which clinical manifestation will the nurse report to the health care provider first?
- Hyperactive bowel sounds
The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse for suggestions about appropriate physical activities. Which activity would the nurse most likely recommend?
- Baseball
The nurse is presenting a program on HIV and children for a nursing students. The nurse determines that more teaching is needed when the students identify which of the following as a mode of transmission?
- Skin contact
A nurse is conducting a class to a group of parents on sickle cell anemia. Which statement by a parent indicates teaching has been effective?
- "The sickle shape of red blood cells decreases oxygen to tissues."
A parent calls the pediatric clinic and tells the nurse "I think my child is having a sickle cell crisis. Should I bring the child to the office?" What is the nurse's best response?
- "Tell me about the symptoms your child is experiencing"
The nurse is caring for a 6-year-old sickle-cell client in an acute care setting. A high priority for this client's plan of care is pain relief. The nurse understands that untreated acute pain can lead to which physiological effects?
- Impaired mobility, anorexia, anxiety, sleep disturbances, and developmental regression
A child diagnosed with hemophilia presents with warm, swollen, painful joints. Which action will the nurse take first?
- Prepare to administer factor replacement medication
The nurse is providing care at a local clinic that treats children with hemophilia. The nurse understands that if bleeding is not treated effectively, the children are at high risk for development of chronic disabling disease involving the:
- joints.
A nurse is providing care for a child diagnosed with beta-thalassemia who is receiving a blood transfusion. The child reports being bored and asks to go to the playroom. What is the bestaction for the nurse to take?
- Have a child-life specialist find an appropriate activity to occupy the child during the transfusion.
The parents of a 2-month-old infant have learned that their infant has hemophilia. The parents are visibly upset and ask how this could have happened to them. What is the nurse's bestresponse?
- "News like this is difficult to hear. Let's talk about what this means for your child." [Show Less]