Question 1

Which clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vasoocclusive crisis?

Accepted Answer

A) Circulatory collapse 
B) Cardiomegaly, systolic murmurs 
C) Hepatomegaly, intrahepatic cholestasis 
D) Painful swelling of hands and feet; painful joints 
A) Circulatory collapse 
B) Cardiomegaly, systolic murmurs 
C) Hepatomegaly, intrahepatic cholestasis 
D) Painful swelling of hands and feet; painful joints

Question 2

In which of the conditions 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 3

The nurse is teaching parents of an infant about the causes of iron deficiency anemia.Which statement best describes iron deficiency anemia in infants?

Accepted Answer

A) It is caused by depression of the hematopoietic system. 
B) It is easily diagnosed because of an infant's emaciated appearance. 
C) Clinical manifestations are similar regardless of the cause of the anemia. 
D) Clinical manifestations result from a decreased intake of milk and the premature addition of solid foods. 
A) It is caused by depression of the hematopoietic system. 
B) It is easily diagnosed because of an infant's emaciated appearance. 
C) Clinical manifestations are similar regardless of the cause of the anemia. 
D) Clinical manifestations result from a decreased intake of milk and the premature addition of solid foods.

Question 4

The nurse is preparing to give oral care to a school-age child with mucositis secondary to chemotherapy administered to treat leukemia.Which preparations should the nurse use for oral care on this child? (Select all that apply.)

Accepted Answer

A) Chlorhexidine gluconate (Peridex) 
B) Lemon glycerin swabs 
C) Antifungal troches (lozenges) 
D) Lip balm (Aquaphor) 
E) Hydrogen peroxide 
A) Chlorhexidine gluconate (Peridex) 
B) Lemon glycerin swabs 
C) Antifungal troches (lozenges) 
D) Lip balm (Aquaphor) 
E) Hydrogen peroxide

Question 5

Which is a common clinical manifestation of Hodgkin disease?

Accepted Answer

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

Question 6

A young child with human immunodeficiency virus (HIV)is receiving several antiretroviral drugs.The purpose of these drugs is to:

Accepted Answer

A) cure the disease. 
B) delay disease progression. 
C) prevent spread of disease. 
D) treat Pneumocystis carinii pneumonia. 
A) cure the disease. 
B) delay disease progression. 
C) prevent spread of disease. 
D) treat Pneumocystis carinii pneumonia.

Question 7

An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain,dyspnea,distended neck veins,slight cyanosis,and a dry cough.These manifestations are most suggestive of:

Accepted Answer

A) air emboli. 
B) allergic reaction. 
C) hemolytic reaction. 
D) circulatory overload. 
A) air emboli. 
B) allergic reaction. 
C) hemolytic reaction. 
D) circulatory overload.

Question 8

A boy with leukemia screams whenever he needs to be turned or moved.Which is the most probable cause of this 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 9

Several complications can occur when a child receives a blood transfusion.Which is an 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 10

Which child should the nurse document as being anemic?

Accepted Answer

A) 7-year-old child with a hemoglobin of 11.5 g/dl 
B) 3-year-old child with a hemoglobin of 12 g/dl 
C) 14-year-old child with a hemoglobin of 10 g/dl 
D) 1-year-old child with a hemoglobin of 13 g/dl 
A) 7-year-old child with a hemoglobin of 11.5 g/dl 
B) 3-year-old child with a hemoglobin of 12 g/dl 
C) 14-year-old child with a hemoglobin of 10 g/dl 
D) 1-year-old child with a hemoglobin of 13 g/dl

Exam 26: The Child with Hematologic or Immunologic Dysfunction

Which clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vasoocclusive crisis?

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

The nurse is teaching parents of an infant about the causes of iron deficiency anemia.Which statement best describes iron deficiency anemia in infants?

The nurse is preparing to give oral care to a school-age child with mucositis secondary to chemotherapy administered to treat leukemia.Which preparations should the nurse use for oral care on this child? (Select all that apply.)

Which is a common clinical manifestation of Hodgkin disease?

A young child with human immunodeficiency virus (HIV)is receiving several antiretroviral drugs.The purpose of these drugs is to:

An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain,dyspnea,distended neck veins,slight cyanosis,and a dry cough.These manifestations are most suggestive of:

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

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

Which child should the nurse document as being anemic?

Perspectives of Pediatric Nursing

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social,Cultural,and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child

Pain Assessment and Management in Children

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic or Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Integumentary Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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