Exam 22: Alterations of Hematological Function in Children

A 6-year-old male presents with marked fatigue, jaundice, and irritability. A blood smear shows the presence of sickled cells. Erythropoiesis is compromised in this child. Which crisis should the nurse monitor the patient for?

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

What is the most serious complication of immune thrombocytopenic purpura (ITP)?

A 1-year-old female is diagnosed with anemia secondary to insufficient erythropoiesis. What is the most likely cause?

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

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 laboratory results, and the hemoglobin determination indicates a level below _____ mmol/L.

Which of the following amino acids is present in Hb S and not present in normal Hb?

Which type of sickle cell crisis occurs only in young children?

What is the most likely cause of death associated with sickle cell disease?

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

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. This symptomology supports which medical diagnosis?

What type of genetic disorders are the alpha and beta thalassemias?

A mother has a child that is diagnosed with sickle cell anemia. While the mother does not have the disease, which characteristic of her genetic makeup is responsible for the child's disease?

What is a priority assessment for Hodgkin lymphoma in children?

What is the most common form of childhood leukemia?

In Canada, which group of people should be assessed first for sickle cell disease?

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

A 5-year-old male is diagnosed with immune thrombocytopenic purpura (ITP). What is the most common cause of this condition?

By what other name is the clotting factor IX disorder, hemophilia B, known as?