Exam 50: The Child With Alterations in Hematologic Function

The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD). The nurse knows that a transfusion reaction will most likely occur:

During a hurricane emergency, a child with hemophilia is injured and bleeding internally. The child is transported to the hospital. Due to the emergency, the appropriate factor is not available. What blood product would be the next best option to promote clotting?

During discharge teaching to parents of a child hospitalized with sickle-cell crisis, the nurse should emphasize which of the following as a priority home care intervention?

A child with hemophilia plans on participating in a bicycling club. Which recommendation should the nurse give to the child?

The nurse recommends to the mother of a 10-month-old child that cow's milk not be introduced into the diet until after 12 months of age. The mother asks why she can't switch to cow's milk earlier. The nurse explains that cow's milk can lead to iron deficiency anemia because:

A ten-year-old boy with classic hemophilia is admitted to the hospital for hemorrhage into the knee joint. Treatment is instituted on admission. What would be an appropriate nursing diagnosis for this child?