Nokea
Why would the nurse urge the family of a dying 12-year-old boy to include his 8-year-old sister in care? (Select all that apply.)
- A. She will feel less neglected by the parents.
- B. She can make amends for past hostilities to her brother.
- C. She will feel increased helplessness.
- D. She can express her feelings through care.
- E. She can experience being supportive of her parents and brother.
Correct Answer: A,B,D,E
Rationale: Including the sibling in care helps reduce feelings of neglect, allows expression of feelings, and fosters a sense of support and connection.
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Which statement by a mother may indicate a cause for her 9-month-old's iron deficiency anemia?
- A. Formula is so expensive. We switched to regular milk right away.'
- B. She almost never drinks water.'
- C. She doesn't really like peaches or pears, so we stick to bananas for fruit.'
- D. I give her a piece of bread now and then. She likes to chew on it.'
Correct Answer: A
Rationale: Because cow's milk contains very little iron, infants should drink iron-fortified formula for the first year of life.
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.
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.
A newly married couple is seeking genetic counseling because they are both carriers of the sickle cell trait. How can the nurse best explain the children's risk of inheriting this disease?
- A. Every fourth child will have the disease; two others will be carriers.
- B. All of their children will be carriers, just as they are.
- C. Each child has a one in four chance of having the disease and a two in four chance of being a carrier.
- D. The risk levels of their children cannot be determined by this information.
Correct Answer: C
Rationale: The sickle cell gene is inherited from both parents; therefore, each offspring has a one in four chance of inheriting the disease.
A child is diagnosed with iron deficiency anemia. What will the nurse explain can occur if this disorder goes untreated?
- A. Hemorrhage
- B. Heart failure
- C. Infection
- D. Pulmonary embolism
Correct Answer: B
Rationale: Untreated iron deficiency anemias progress slowly, and in severe cases the heart muscle becomes too weak to function.