Question 1

What is one possible cause of acquired aplastic anemia in children?

Accepted Answer

A)  Drugs 
B)  Injury 
C)  Deficient diet 
D)  Congenital defect 
A)  Drugs 
B)  Injury 
C)  Deficient diet 
D)  Congenital defect

Question 2

Which is an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets?

Accepted Answer

A)  Aplastic anemia 
B)  Thalassemia major 
C)  Disseminated intravascular coagulation 
D)  Idiopathic thrombocytopenic purpura 
A)  Aplastic anemia 
B)  Thalassemia major 
C)  Disseminated intravascular coagulation 
D)  Idiopathic thrombocytopenic purpura

Question 3

A young child with human immunodeficiency virus (HIV)is receiving several antiretroviral drugs.What do these drugs do for the child?

Accepted Answer

A)  Cure the disease. 
B)  Delay the disease's progression. 
C)  Prevent the spread of the disease. 
D)  Treat Pneumocystis carinii pneumonia. 
A)  Cure the disease. 
B)  Delay the disease's progression. 
C)  Prevent the spread of the disease. 
D)  Treat Pneumocystis carinii pneumonia.

Question 4

What is often administered to prevent or control hemorrhage in a child with cancer?

Accepted Answer

A)  Nitrosoureas 
B)  Platelets 
C)  Whole blood 
D)  Corticosteroids 
A)  Nitrosoureas 
B)  Platelets 
C)  Whole blood 
D)  Corticosteroids

Question 5

Several complications can occur when a child receives a blood transfusion.What is one immediate sign or symptom of an air embolus?

Accepted Answer

A)  Chills and shaking 
B)  Nausea and vomiting 
C)  Irregular heart rate 
D)  Sudden difficulty in breathing 
A)  Chills and shaking 
B)  Nausea and vomiting 
C)  Irregular heart rate 
D)  Sudden difficulty in breathing

Question 6

The parents of a child with cancer tell the nurse that a bone marrow transplant (BMT)may be necessary.What should the nurse recognize as important when discussing this with the family?

Accepted Answer

A)  The BMT should be done at the time of diagnosis. 
B)  The parents and siblings of the child have a 25% chance of being a suitable donor. 
C)  Finding a suitable donor involves matching antigens from the human leukocyte antigen (HL
A) system. 
D)  If the BMT fails,chemotherapy or radiotherapy must be continued. 
A)  The BMT should be done at the time of diagnosis. 
B)  The parents and siblings of the child have a 25% chance of being a suitable donor. 
C)  Finding a suitable donor involves matching antigens from the human leukocyte antigen (HL
A) system. 
D)  If the BMT fails,chemotherapy or radiotherapy must be continued.

Question 7

Which would the nurse expect when assessing a child who has acute chest syndrome (ACS)? Select all that apply.Express answer with small letters followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Hypothermia 
B)  Cough 
C)  Severe,unrelieved headache 
D)  Seizures 
E)  Tachypnea
F) Retractions 
A)  Hypothermia 
B)  Cough 
C)  Severe,unrelieved headache 
D)  Seizures 
E)  Tachypnea
F) Retractions

Question 8

Which is an inherited immunodeficiency disorder characterized by absence of both humoral and cell-mediated immunity?

Accepted Answer

A)  Severe combined immunodeficiency disease (SCI
D)  
B)  Acquired immunodeficiency syndrome 
C)  Wiskott-Aldrich syndrome 
D)  Fanconi syndrome 
A)  Severe combined immunodeficiency disease (SCI
D)  
B)  Acquired immunodeficiency syndrome 
C)  Wiskott-Aldrich syndrome 
D)  Fanconi syndrome

Question 9

What is the name of the condition in which the normal,adult hemoglobin is partly or completely replaced by abnormal hemoglobin?

Accepted Answer

A)  Aplastic anemia 
B)  Sickle cell anemia 
C)  Hemophilia 
D)  Iron-deficiency anemia 
A)  Aplastic anemia 
B)  Sickle cell anemia 
C)  Hemophilia 
D)  Iron-deficiency anemia

Question 10

The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction.What should the nurse explain about narcotic analgesics?

Accepted Answer

A)  They are often ordered but not usually needed. 
B)  They rarely cause addiction because they are medically indicated. 
C)  They are given as a last resort because of the threat of addiction. 
D)  They are used only if other measures,such as ice packs,are ineffective. 
A)  They are often ordered but not usually needed. 
B)  They rarely cause addiction because they are medically indicated. 
C)  They are given as a last resort because of the threat of addiction. 
D)  They are used only if other measures,such as ice packs,are ineffective.

Question 11

A boy with leukemia screams whenever he needs to be turned or moved.What is the most probable cause of his pain?

Accepted Answer

A)  Edema 
B)  Bone involvement 
C)  Petechial hemorrhages 
D)  Changes within the muscles 
A)  Edema 
B)  Bone involvement 
C)  Petechial hemorrhages 
D)  Changes within the muscles

Question 12

What is one common clinical manifestation of Hodgkin's disease?

Accepted Answer

A)  Petechiae 
B)  Bone and joint pain 
C)  Painful,enlarged lymph nodes 
D)  Enlarged,firm,non-tender lymph nodes 
A)  Petechiae 
B)  Bone and joint pain 
C)  Painful,enlarged lymph nodes 
D)  Enlarged,firm,non-tender lymph nodes

Question 13

Which information should the nurse include when preparing a child for possible alopecia from chemotherapy?

Accepted Answer

A)  Explain to the child that hair usually regrows in 1 year. 
B)  Advise the child to expose the head to sunlight to minimize alopecia. 
C)  Explain to the child that wearing a hat or scarf is preferable to wearing a wig. 
D)  Explain to the child that when hair regrows it may have a slightly different colour or texture. 
A)  Explain to the child that hair usually regrows in 1 year. 
B)  Advise the child to expose the head to sunlight to minimize alopecia. 
C)  Explain to the child that wearing a hat or scarf is preferable to wearing a wig. 
D)  Explain to the child that when hair regrows it may have a slightly different colour or texture.

Question 14

In which condition are all the formed elements of the blood simultaneously depressed?

Accepted Answer

A)  Aplastic anemia 
B)  Sickle cell anemia 
C)  Thalassemia major 
D)  Iron deficiency anemia 
A)  Aplastic anemia 
B)  Sickle cell anemia 
C)  Thalassemia major 
D)  Iron deficiency anemia

Question 15

A school-age child is admitted in vaso-occlusive sickle cell crisis.What should the child's care include?

Accepted Answer

A)  Correction of acidosis 
B)  Adequate hydration and pain management 
C)  Pain management and administration of heparin 
D)  Adequate oxygenation and replacement of factor VIII 
A)  Correction of acidosis 
B)  Adequate hydration and pain management 
C)  Pain management and administration of heparin 
D)  Adequate oxygenation and replacement of factor VIII

Exam 48: Hematological or Immunological Dysfunction

What is one possible cause of acquired aplastic anemia in children?

Which is an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets?

A young child with human immunodeficiency virus (HIV)is receiving several antiretroviral drugs.What do these drugs do for the child?

What is often administered to prevent or control hemorrhage in a child with cancer?

Several complications can occur when a child receives a blood transfusion.What is one immediate sign or symptom of an air embolus?

The parents of a child with cancer tell the nurse that a bone marrow transplant (BMT)may be necessary.What should the nurse recognize as important when discussing this with the family?

Which would the nurse expect when assessing a child who has acute chest syndrome (ACS)? Select all that apply.Express answer with small letters followed by a comma and a space-e.g. ,a,b,c

Which is an inherited immunodeficiency disorder characterized by absence of both humoral and cell-mediated immunity?

What is the name of the condition in which the normal,adult hemoglobin is partly or completely replaced by abnormal hemoglobin?

The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction.What should the nurse explain about narcotic analgesics?

A boy with leukemia screams whenever he needs to be turned or moved.What is the most probable cause of his pain?

What is one common clinical manifestation of Hodgkin's disease?

Which information should the nurse include when preparing a child for possible alopecia from chemotherapy?

In which condition are all the formed elements of the blood simultaneously depressed?

A school-age child is admitted in vaso-occlusive sickle cell crisis.What should the child's care include?

Contemporary Perinatal and Pediatric Nursing in Canada

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