Nokea
A child with thalassemia major receives blood transfusions frequently. What is a complication of repeated blood transfusions?
- A. Hemarthrosis
- B. Hematuria
- C. Hemoptysis
- D. Hemosiderosis
Correct Answer: D
Rationale: As a result of repeated blood transfusions, excessive deposits of iron (hemosiderosis) are stored in tissues.
You may also like to solve these questions
A newly married couple is seeking genetic counseling because they are both carriers of the sickle cell trait. How can the nurse best explain the children's risk of inheriting this disease?
- A. Every fourth child will have the disease; two others will be carriers.
- B. All of their children will be carriers, just as they are.
- C. Each child has a one in four chance of having the disease and a two in four chance of being a carrier.
- D. The risk levels of their children cannot be determined by this information.
Correct Answer: C
Rationale: The sickle cell gene is inherited from both parents; therefore, each offspring has a one in four chance of inheriting the disease.
The most recent blood count for a child who received chemotherapy last week shows neutropenia. What is the priority nursing diagnosis for this child?
- A. Risk for infection
- B. Risk for hemorrhage
- C. Altered skin integrity
- D. Disturbance in body image
Correct Answer: A
Rationale: The child with neutropenia is at risk for infection.
On admission, a child with leukemia has widespread purpura and a platelet count of 19,000/mm?³. What is the priority nursing intervention?
- A. Assessing neurological status
- B. Inserting an intravenous line
- C. Monitoring vital signs during platelet transfusions
- D. Providing family education about how to prevent bleeding
Correct Answer: A
Rationale: When platelets are low, the greatest danger is spontaneous intracranial bleeding. Neurological assessments are therefore a priority of care.
A 3-year-old child with sickle cell disease is admitted to the hospital in sickle cell crisis with severe abdominal pain. Which type of crisis is the child most likely experiencing?
- A. Aplastic
- B. Hyperhemolytic
- C. Vaso-occlusive
- D. Splenic sequestration
Correct Answer: C
Rationale: Vaso-occlusive crisis, or painful crisis, is caused by obstruction of blood flow by sickle cells, infarctions, and some degrees of vasospasm.
The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food would the nurse emphasize as being a rich source of iron?
- A. An egg white
- B. Cream of Wheat
- C. A banana
- D. A carrot
Correct Answer: B
Rationale: Good nutritional sources of iron include boiled egg yolk, liver, green leafy vegetables, Cream of Wheat, dried fruits, beans, nuts, and whole-grain breads.