Nokea
The nurse is dealing with a preschool child with a life-threatening illness. What should the nurse remember the child's concept of death is at this age?
- A. That it is final
- B. Only a fear of separation from her parents
- C. That a person becomes alive again soon after death
- D. An understanding based on simple logic
Correct Answer: C
Rationale: The preschooler views death as reversible and temporary.
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The nurse finds an adolescent with Hodgkin's disease crying. The adolescent says, 'I am so scared.' What is the most appropriate nursing response to this comment?
- A. I understand how you must feel.'
- B. You shouldn't feel that way.'
- C. Is this the strongest feeling you've had today?'
- D. Tell me what's got you scared.'
Correct Answer: D
Rationale: The nurse should encourage the adolescent to express her feelings and concerns.
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.
The nurse notes that a 4-year-old child's gums bleed easily and he has bruising and petechiae on his extremities. Which lab value is consistent with these symptoms?
- A. Platelet count of 25,000/mm?³
- B. Hemoglobin level of 8 g/dL
- C. Hematocrit level of 36%
- D. Leukocyte count of 14,000/mm?³
Correct Answer: A
Rationale: The normal platelet count is 150,000 to 400,000/mm?³. This finding is very low, indicating an increased bleeding potential.
What important focus of nursing care for the dying child and the family should the nurse implement?
- A. Nursing care should be organized to minimize contact with the child.
- B. Adequate oral intake is crucial to the dying child.
- C. Families should be made aware that hearing is the last sense to stop functioning before death.
- D. It is best for the family if the nursing staff provides all of the child's care.
Correct Answer: C
Rationale: Hearing is intact even when there is a loss of consciousness.
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.