Nokea
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.
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A child has just been diagnosed with acute lymphoblastic leukemia. What is the result of an overproduction of immature white blood cells in the bone marrow?
- A. Decreased T-cell production
- B. Decreased hemoglobin
- C. Increased blood clotting
- D. Increased susceptibility to infection
Correct Answer: D
Rationale: An overproduction of immature white blood cells increases the child's susceptibility to infection.
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.
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.
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 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.