Exam 30: The Child With Hematologic or Immunologic Dysfunction

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A child with severe anemia requires a unit of red blood cells (RBCs).The nurse explains to the child that the transfusion is necessary for which reason?

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The majority of children in the United States with human immunodeficiency virus (HIV)infection acquired the disease by which means?

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What condition occurs when the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin?

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The nurse is planning care for an adolescent with acquired immunodeficiency syndrome.What is the priority nursing goal?

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The clinic nurse is evaluating lab results for a child.What recorded hematocrit (Hct)result is considered within the normal range?

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What immunoglobulin pattern does the nurse expect in a child recently diagnosed with Wiskott-Aldrich syndrome?

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The nurse is teaching a parent of an infant to limit the amount of formula to encourage the intake of iron-rich food.What amount should the nurse teach to the parent?

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The nurse is teaching parents of a child being discharged from the hospital after a splenectomy about the risk of infection.What should the nurse include in the teaching session?

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The nurse is caring for a child with hemophilia A.The child's activity is as tolerated.What activity is contraindicated for this child?

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A child with hemophilia A is scheduled for surgery.What precautions should the nurse institute with this child?

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What are signs and symptoms of anemia?

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A health care provider prescribes OxyContin (Oxycodone),7.5 mg PO every 4 to 6 hours as needed for pain for a child with sickle cell disease.The medication label states: "OxyContin 5 mg/1 ml." The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer using one decimal place. ________________

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What physiologic defect is responsible for causing anemia?

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The clinic nurse is evaluating lab results for a child.What recorded hemoglobin (Hgb)result is considered within the normal range?

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A health care provider prescribes Kytril (granisetron),10 mcg/kg IV every 4 to 6 hours as needed for nausea for a child who had a reaction to a blood transfusion.The medication label states: "Kytril 100 mcg/1 ml." The child weighs 20 kg.The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer in a whole number. ________________

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The nurse is preparing to administer a unit of packed red blood cells to a hospitalized child.What is an appropriate action that applies to administering blood?

(Multiple Choice)
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A health care provider prescribes ibuprofen (Motrin),5 mg/kg PO every 6 to 8 hours as needed for pain for a child with sickle cell disease.The child weighs 16 kg.The medication label states: "Ibuprofen 100 mg/5 ml." The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer in a whole number. ________________

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The nurse is administering a unit of blood to a child.What are signs and symptoms of a transfusion reaction?

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The nurse is preparing to admit a 4-year-old child with chronic benign neutropenia.What clinical features of chronic benign neutropenia should the nurse recognize?

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In anticipation of the admission of a child with hereditary spherocytosis (HS)who is experiencing an aplastic crisis,what action should the nurse plan?

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