Exam 32: Caring for the Child With a Hematological Condition

A 2-year-old child's hemoglobin is 8.2 g/dL.What action by the nurse is best?

A nurse working in pediatrics learns that the normal hemoglobin value for an infant is high at birth,then decreases by 2 months of age before increasing again as the child grows.The nurse knows the reason for this shift is which of the following?

A child has a disease involving an antigen-antibody complex disorder.What treatment regimen does the nurse prepare the family for?

The parents of an 8-year-old child with sickle cell anemia call the clinic to report that the child developed chest pain after playing soccer.What advice from the nurse is most appropriate?

A child is suspected of having aplastic anemia.What physical assessment should the nurse perform to correlate with this condition?

A child is hospitalized with the following laboratory values: WBCs,2,100 mm³; segs,48%; and bands,2%.What action by the nurse is best?

A child weighing 32 kg (74.4 lb)is taking iron.By your calculation,the daily dose of the drug for this child would be____________________ mg/day,in two divided doses.

The pediatric nurse understands blood types.Which of the following donor/recipient matches are suitable?

A nurse is assessing an infant for the most common type of anemia worldwide.What action by the nurse is most helpful?

A hospitalized child is receiving antithymocyte globulin (ATG)for aplastic anemia.What action by the nurse is most important?

A 2-year-old child is starting enoxaparin (Lovenox)to treat a thrombosis.The child weighs 32 lb.According to your calculation,the dose to be given twice a day is ____________________ mg,for each of the two doses.

A child is receiving a blood transfusion.On assessment,the nurse finds the child short of breath,febrile,and hypotensive.After stopping the transfusion,what action by the nurse takes priority?

An adolescent has been taught to administer replacement factors for bleeding episodes related to hemophilia.What action by the teen indicates that further instruction is needed?

A teenager is hospitalized with sickle cell disease and vaso-occlusive crisis.What pain medication regimen does the nurse assist the patient with?

In preparing a patient to receive an autologous bone marrow transplantation,which action by the nurse is best?

A child presents to the emergency department with sickle cell crisis.Which intervention does the nurse perform first?

A child has mild anemia and the parent asks why this makes the child have difficulty concentrating.What response by the nurse is best?

The nurse working in the pediatric intensive care unit understands that the priority for treating disseminated intravascular coagulation (DIC)is to do which of the following?

An 8-year-old child had a hematopoietic stem cell transplant 10 months ago.The father brings her to the clinic,where the child reports "I just don't feel well." Dad relates that the child has been lethargic and sleeping a lot.The child's vital signs are within normal range for age.What action by the nurse is best?

A child has been hospitalized with a sickle cell crisis and given morphine sulfate (Duramorph)for severe pain.On assessment 45 minutes later,the child appears to be sleeping quietly with a respiratory rate of 6 breaths/minute.What action by the nurse is most appropriate?