Exam 24: The Child with Hematologic or Immunologic Dysfunction

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

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A

The nurse has initiated a blood transfusion on a preschool child. The child begins to exhibit signs of a transfusion reaction. Place in order the interventions the nurse should implement sequencing from the highest priority to the lowest. Provide the answer using lowercase letters separated by commas (e.g., a, b, c, d). A) Take the vital signs. B) Stop the transfusion. C) Notify the practitioner. D) Maintain a patent IV line with normal saline.

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B, A, D, C
If a blood transfusion reaction of any type is suspected, stop the transfusion, take vital signs, maintain a patent IV line with normal saline and new tubing, notify the practitioner, and do not restart the transfusion until the child's condition has been medically evaluated.

The nurse is planning activity for a 4-year-old child with anemia. Which activity should the nurse plan for this child?

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C

Parents of a school-age child with hemophilia ask the nurse, "Which sports are recommended for children with hemophilia?" Which sports should the nurse recommend? (Select all that apply.)

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The nurse is reviewing first aid with a group of school nurses. Which statement made by a participant indicates a correct understanding of the information?

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The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction. Which is appropriate for the nurse to explain about narcotic analgesics?

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The nurse is conducting a staff in-service on childhood blood disorders. Which describes the pathology of idiopathic thrombocytopenic purpura?

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

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Which child should the nurse document as being anemic?

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Parents of a hemophiliac child ask the nurse, "Can you describe hemophilia to us?" Which response by the nurse is descriptive of most cases of hemophilia?

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Why is meperidine (Demerol) not recommended for children in sickle cell crisis?

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

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A school-age child is admitted in vasoocclusive sickle cell crisis. What should be included in the child's care?

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Which should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations?

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The nurse is conducting a staff in-service on sickle cell anemia. Which describes the pathologic changes of sickle cell anemia?

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When both parents have sickle cell trait, which is the chance their children will have sickle cell anemia?

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The nurse is recommending how to prevent iron-deficiency anemia in a healthy, term, breastfed infant. Which should be suggested?

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Which immunization should be given with caution to children infected with human immunodeficiency virus (HIV)?

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Several blood tests are ordered for a preschool child with severe anemia. The child is crying and upset because of memories of the venipuncture done at the clinic 2 days ago. What should the nurse explain?

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The nurse is planning care for a school-age child admitted to the hospital with hemophilia. Which interventions should the nurse plan to implement for this child? (Select all that apply.)

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