Exam 30: The Child With Hematologic or Immunologic Dysfunction

What therapeutic intervention is most appropriate for a child with b-thalassemia major?

The child with sickle cell disease requires 150% of the 24-hour fluid maintenance.Calculate the 24-hour maintenance fluid requirement (ml/day)for a child with sickle cell disease weighing 12 kg.Fill in the blank.Record your answer in a whole number. __________________

A toddler is diagnosed with chronic benign neutropenia.The parents are being taught about caring for their child.What information is important to include?

The health care provider has prescribed a unit of packed red blood cells to be administered over 3 hours to a child with sickle cell disease.The unit from the blood bank totals 240 ml.What milliliters per hour should the nurse set the infusion pump to deliver the packed red blood cells? Fill in the blank and record your answer in a whole number. ____________

For children who do not have a matched sibling bone marrow donor,the therapeutic management of aplastic anemia includes what intervention?

A 5-year-old child is admitted to the hospital in a sickle cell crisis.The child has been alert and oriented but in severe pain.The nurse notes that the child is complaining of a headache and is having unilateral hemiplegia.What action should the nurse implement?

A health care provider prescribes iron (Niferex)elixir,2 mg/kg orally daily for a preterm infant.The infant weighs 4 kg.The medication label states: "Niferex 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 using one decimal place. ________________

Therapeutic management of a 6-year-old child with hereditary spherocytosis (HS)should include which therapeutic intervention?

The nurse is preparing to admit a 1-month-old infant with severe congenital neutropenia (Kostmann disease).What clinical features of severe congenital neutropenia should the nurse recognize?

What statement best describes iron deficiency anemia in infants?

The clinic nurse is evaluating causes for iron deficiency due to impaired iron absorption.What should the nurse recognize as causes for iron deficiency due to impaired iron absorption?

A mother states that she brought her child to the clinic because the 3-year-old girl was not keeping up with her siblings.During physical assessment,the nurse notes that the child has pale skin and conjunctiva and has muscle weakness.The hemoglobin on admission is 6.4 g/dl.After notifying the practitioner of the results,what nursing priority intervention should occur next?

A child with hemophilia A will have which abnormal laboratory result?

In a child with sickle cell anemia (SCA),adequate hydration is essential to minimize sickling and delay the vasoocclusion and hypoxia-ischemia cycle.What information should the nurse share with parents in a teaching plan?

The clinical manifestations of sickle cell anemia (SCA)are primarily the result of which physiologic alteration?

The nurse is teaching the family of a child,age 8 years,with moderate hemophilia about home care.What should the nurse tell the family to do to minimize joint injury?

Iron overload is a side effect of chronic transfusion therapy.What treatment assists in minimizing this complication?

Care for the child with acute idiopathic thrombocytopenic purpura (ITP)includes which therapeutic intervention?

What condition is an inherited immunodeficiency disorder characterized by absence of both humoral and cell-mediated immunity?

The nurse is caring for a 12-year-old child with b-thalassemia.What clinical manifestations should the nurse expect to observe?