Question 1

What describes the pathologic changes of sickle cell anemia?

Accepted Answer

A)  Sickle-shaped cells carry excess oxygen. 
B)  Sickle-shaped cells decrease blood viscosity. 
C)  Increased red blood cell destruction occurs. 
D)  Decreased red blood cell destruction occurs. 
A)  Sickle-shaped cells carry excess oxygen. 
B)  Sickle-shaped cells decrease blood viscosity. 
C)  Increased red blood cell destruction occurs. 
D)  Decreased red blood cell destruction occurs.

Question 2

The nurse is caring for a child with aplastic anemia.What nursing diagnoses are appropriate? (Select all that apply.)

Accepted Answer

A)  Acute Pain related to vaso-occlusion 
B)  Risk for Infection related to inadequate secondary defenses or immunosuppression 
C)  Ineffective Protection related to thrombocytopenia 
D)  Ineffective Tissue Perfusion related to anemia 
E)  Ineffective Protection related to abnormal clotting 
A)  Acute Pain related to vaso-occlusion 
B)  Risk for Infection related to inadequate secondary defenses or immunosuppression 
C)  Ineffective Protection related to thrombocytopenia 
D)  Ineffective Tissue Perfusion related to anemia 
E)  Ineffective Protection related to abnormal clotting

Question 3

The nurse is caring for a child with iron-deficiency anemia.What should the nurse expect to find when reviewing the results of the complete blood count (CBC)? (Select all that apply.)

Accepted Answer

A)  Low hemoglobin levels 
B)  Elevated red blood cell (RB
C)  levels 
C)  Elevated mean cell volume (MCV) levels 
D)  Low reticulocyte count 
E)  Decreased MCV levels 
A)  Low hemoglobin levels 
B)  Elevated red blood cell (RB
C)  levels 
C)  Elevated mean cell volume (MCV) levels 
D)  Low reticulocyte count 
E)  Decreased MCV levels

Question 4

An assessment of a 7-month-old infant with a hemoglobin level of 6.5 mg/dL is likely to reveal an infant who is

Accepted Answer

A)  lethargic, pale, and irritable. 
B)  thin, energetic, and sleeps little. 
C)  anorexic, vomiting, and has watery stools. 
D)  flushed, fussy, and tired. 
A)  lethargic, pale, and irritable. 
B)  thin, energetic, and sleeps little. 
C)  anorexic, vomiting, and has watery stools. 
D)  flushed, fussy, and tired.

Question 5

A nurse is evaluating parents' knowledge about caring for their child who has iron-deficiency anemia.Which action shows the parents need further education?

Accepted Answer

A)  Decreasing the infant's daily milk intake to 24 oz or less 
B)  Giving oral iron supplements between meals with orange juice 
C)  Including apricots, dark-green leafy vegetables, and egg yolk in the infant's diet 
D)  Allowing the infant to drink the iron supplement from a small medicine cup 
A)  Decreasing the infant's daily milk intake to 24 oz or less 
B)  Giving oral iron supplements between meals with orange juice 
C)  Including apricots, dark-green leafy vegetables, and egg yolk in the infant's diet 
D)  Allowing the infant to drink the iron supplement from a small medicine cup

Exam 47: The Child with a Hematologic Alteration

What describes the pathologic changes of sickle cell anemia?

The nurse is caring for a child with aplastic anemia.What nursing diagnoses are appropriate? (Select all that apply.)

The nurse is caring for a child with iron-deficiency anemia.What should the nurse expect to find when reviewing the results of the complete blood count (CBC)? (Select all that apply.)

An assessment of a 7-month-old infant with a hemoglobin level of 6.5 mg/dL is likely to reveal an infant who is

A nurse is evaluating parents' knowledge about caring for their child who has iron-deficiency anemia.Which action shows the parents need further education?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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