Exam 32: Caring for the Child With a Hematological Condition

A nursing student asks the instructor why he was marked off on his care plan when explaining a low hemoglobin level as being caused by "anemia." What response by the instructor is best?

A toddler had a minor fall and now has a swollen,bruised,painful knee.What diagnostic test is most important for the nurse to educate the parents about?

The student studying pediatric hematological disorders learns that anemia can occur in several ways,including which of the following?

A faculty member is reviewing guidelines for blood transfusions with a student whose patient is to receive 2 units of packed red blood cells.Which of the following does the student know about transfusions?

A child who weighs 32 kg (74.4 lb)is hospitalized with a sickle cell crisis.By your calculation,this child's 24-hour fluid requirement would be ____________________ mL/24 hours.

A child has mild anemia.Parents learn to assess for signs of worsening anemia,including which of the following?

A child is receiving a dose of filgrastim (Neupogen).The parent asks the nurse what this medication is for.What response by the nurse is best?

A child is taking desmopressin acetate (DDAVP)for von Willebrand's disease.What teaching about this medication does the nurse provide?

The pediatric nurse is aware that the most common type of transfusion reaction is which of the following?

A child is hospitalized with immune thrombocytopenia (ITP).What treatment options does the nurse prepare to answer questions about?

A child is on IV heparin.Which laboratory value does the nurse analyze to determine if the dose is therapeutic?

A child is in the pediatric intensive care unit with disseminated intravascular coagulation (DIC).What laboratory findings correlate with this condition?

The nurse has educated parents on administration of iron to their child.What statement by the parents indicates a need for further instruction?

A nurse is assessing a child who presents to the pediatric clinic,where the parent reports new bruising and petechiae.What question asked by the nurse would elicit the most helpful information?

The pediatric nurse knows that which of the following might be included in the collaborative care of children with mild to moderate anemia?

A child with pancytopenia is getting a blood transfusion and it is time to administer her IV antibiotic.The child has only one IV line.What action by the nurse is most appropriate?

Which health promotion measure does the nurse teach as being most important for the child with sickle cell disease?

An acutely ill,anemic child's peripheral blood smear shows small,dense,spherical RBCs.What action by the nurse takes priority?

A child with chronic immune thrombocytopenia presents to the emergency department,where the parents report a 3-day history of severe headache and recent change in mental status.What diagnostic test does the nurse prepare to facilitate as the priority?

A child has an order for ketorolac (Toradol)IV push once.The child weighs 78 lb.According to your calculation,the one-time dose would be ____________________mg.