Nokea
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.
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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 should be included in the nursing care of a 12-year-old child receiving radiation therapy for Hodgkin's disease? (Select all that apply.)
- A. Application of sunblock
- B. Appetite stimulation
- C. Conservation of energy
- D. Provision for expressions of anger
- E. Preparation for premature sexual development
Correct Answer: A,B,C,D
Rationale: Sunblock prevents skin burning, and addressing low energy, anorexia, and anger are key aspects of care for a child receiving radiation.
How has synthetic recombinant antihemophilic factor improved the management of hemophilia? (Select all that apply.)
- A. Eliminates the need for frequent transfusions.
- B. Can be administered by family at home.
- C. Prevents hemorrhage.
- D. Reduces cost of care of the hemophiliac.
- E. Reduces risk of HIV and hepatitis A and B transmission.
Correct Answer: A,B,D,E
Rationale: Synthetic recombinant antihemophilic factor reduces transfusion needs, allows home administration, lowers costs, and minimizes infection risks.
An adolescent is diagnosed with Hodgkin's disease. Lymph nodes on both sides of her diaphragm have been found to be involved, including cervical and inguinal nodes. Which disease stage is this?
- A. I
- B. II
- C. III
- D. IV
Correct Answer: C
Rationale: Lymph node regions on both sides of the diaphragm are consistent with a diagnosis of stage-III Hodgkin's disease.
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.