Exam 21: Alterations of Hematologic Function in Children

A 10-year-old female is diagnosed with a malignancy in the brain and lung.DNA analysis reveals translocation at chromosome 7 and 14.The most likely medical diagnosis the primary care provider will make is:

A nurse wants to chart the other name for hemophilia B.Which term should the nurse write?

A 3-year-old child presents with bruising on the legs and trunk and a petechial rash.The mother also reports frequent nosebleeds.Lab tests reveal a decreased platelet count.Which is the most likely diagnosis the nurse will see documented on the chart?

What is a priority assessment for Hodgkin lymphoma in children?

Which major symptom in a patient with sickle cell anemia indicates to the nurse,the patient is experiencing a vaso-occlusive crisis?

In the United States,which group of people should be assessed first for sickle cell disease?

Which laboratory test will assist the nurse in identifying infants who are prone to develop hemolytic disease of the newborn (HDN)?

Which of the following clusters of symptoms would lead the nurse to suspect a child has idiopathic thrombocytopenic purpura (ITP)?

A 5-year-old male is diagnosed with leukemia.Which of the following symptoms would the nurse expect? (Select all that apply.)

A 16-month-old female presents with tachycardia,pallor,anorexia,and systolic murmur.The nurse is checking the lab results,and the hemoglobin determination indicates a level below _____ g/dL.

A 5-year-old male is diagnosed with idiopathic thrombocytic purpura (ITP).Which information should the nurse give the staff regarding the cause of this condition?

Sickle cell disease is characterized by the presence of Hb S.A nurse is trying to differentiate between Hb S and normal Hb.Which of the following amino acids is present in Hb S and not present in normal Hb?

A 1-year-old is diagnosed with idiopathic thrombocytopenic purpura (ITP).The nurse assesses for the most serious concern,which is development of:

A 2-year-old male presented with growth and maturation retardation and splenomegaly.He died shortly after arriving at the ER.Autopsy revealed thalassemia secondary to defective:

A 5-year-old female dies from sickle cell disease.The pediatrician will document the most likely cause of death is:

A 12-year-old male is diagnosed with sickle cell anemia.A blood smear reveals severely sickled cells.A nurse recalls the sickled cells will be removed from circulation mostly by the:

A 38-year-old female gives birth to a stillborn fetus.Autopsy reveals cardiomegaly,hepatomegaly,edema,and ascites.Which of the following does the nurse suspect caused the death?

A 10-year-old male with Down syndrome undergoes chemotherapy for cancer.Following treatment,monitoring for which condition is priority?

A nurse is planning care for a child with iron deficiency anemia.Characteristics of iron deficiency anemia include which of the following? (Select all that apply.)

Which mother is at most risk for a maternal-fetal blood incompatibility?