What will the nurse teach the parents of a child with a low platelet count to avoid?
- A. Benadryl
- B. Aspirin
- C. Caffeine
- D. Prednisone
Correct Answer: B
Rationale: Aspirin interferes with platelet function and should be avoided to prevent the risk of prolonged bleeding.
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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.
The family of a child receiving chemotherapy for leukemia should be taught to focus on which aspect(s) of the child's care? (Select all that apply.)
- A. Using a support group
- B. Stimulating appetite
- C. Maintaining adequate hydration
- D. Continuing with scheduled immunizations
- E. Reporting exposure to infectious diseases
Correct Answer: A,B,C,E
Rationale: Support groups, appetite stimulation, hydration, and infection vigilance are critical for a child on chemotherapy.
A 6-year-old child with leukemia asks, 'Who will take care of me in heaven?' What is the best response by the nurse?
- A. Who do you think will take care of you?'
- B. Your grandparents and God will take care of you.'
- C. Your mom will know more about that than I do.'
- D. Why are you asking me that?'
Correct Answer: A
Rationale: This response gives the child an opportunity to verbalize his or her feelings and concerns, whereas closed responses shut off communication.
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 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.
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