Nokea
The nurse, caring for a child receiving chemotherapy, notes that the child's abdomen is firm and slightly distended. There is no record of a bowel movement for the last 2 days. What do these assessment findings suggest?
- A. Peripheral neuropathy
- B. Stomatitis
- C. Myelosuppression
- D. Hemorrhage
Correct Answer: A
Rationale: Peripheral neuropathy may be signaled by severe constipation resulting from decreased nerve sensations in the bowel.
You may also like to solve these questions
Which statement made by a parent indicates an understanding of health maintenance of a child with sickle cell disease?
- A. I should give my child a daily iron supplement.'
- B. It is important for my child to drink plenty of fluids.'
- C. He needs to wear protective equipment if he plays contact sports.'
- D. He shouldn't receive any immunizations until he is older.'
Correct Answer: B
Rationale: Prevention of dehydration, which can trigger the sickling process, is a priority goal in the care of a child with sickle cell disease.
What are the classic symptoms of thalassemia major (Cooley's anemia)? (Select all that apply.)
- A. Hepatomegaly
- B. Jaundice
- C. Protruding teeth
- D. Pathological fractures
- E. Renal failure
Correct Answer: A,B,C,D
Rationale: Classic symptoms of thalassemia major include hepatomegaly, jaundice, protruding teeth, and pathological fractures due to bone marrow expansion.
The nurse is presenting information on the congenital disorder of hemophilia A. What fact will the nurse include?
- A. It is seen in males and females equally.
- B. It is transmitted by symptom-free females.
- C. It is a sex-linked dominant trait.
- D. It is a defective gene located on the Y chromosome.
Correct Answer: B
Rationale: Hemophilia A affects mostly males who received the sex-linked recessive trait from a symptom-free female.
What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric unit?
- A. With milk
- B. With orange juice
- C. With water
- D. On a full stomach
Correct Answer: B
Rationale: Vitamin C aids in the absorption of iron, whereas food and milk interfere with the absorption of iron.
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.