Exam 30: The Child with Hematologic or Immunologic Dysfunction

A child with sickle cell disease is in a vasoocclusive crisis. What nonpharmacologic pain intervention should the nurse plan?

The nurse is preparing to admit a 4-year-old child with chronic benign neutropenia. What clinical features of chronic benign neutropenia should the nurse recognize? (Select all that apply.)

In a child with sickle cell anemia (SCA), adequate hydration is essential to minimize sickling and delay the vasoocclusion and hypoxia-ischemia cycle. What information should the nurse share with parents in a teaching plan?

A school-age child is admitted in vasoocclusive sickle cell crisis (pain episode). The child's care should include which therapeutic interventions?

The clinical manifestations of sickle cell anemia (SCA) are primarily the result of which physiologic alteration?

A health care provider prescribes Kytril (granisetron), 10 mcg/kg IV every 4 to 6 hours as needed for nausea for a child who had a reaction to a blood transfusion. The medication label states: "Kytril 100 mcg/1 ml." The child weighs 20 kg. The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number. ________________

A mother states that she brought her child to the clinic because the 3-year-old girl was not keeping up with her siblings. During physical assessment, the nurse notes that the child has pale skin and conjunctiva and has muscle weakness. The hemoglobin on admission is 6.4 g/dl. After notifying the practitioner of the results, what nursing priority intervention should occur next?

What condition precipitates polycythemia?

What information should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations?

Therapeutic management of a 6-year-old child with hereditary spherocytosis (HS) should include which therapeutic intervention?

What condition is an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets?

A child with hemophilia A is scheduled for surgery. What precautions should the nurse institute with this child?

The nurse is caring for a school-age child with severe anemia and activity intolerance. What diversional activity should the nurse plan for this child?

What pain medication is contraindicated in children with sickle cell disease (SCD)?

A 5-year-old child is admitted to the hospital in a sickle cell crisis. The child has been alert and oriented but in severe pain. The nurse notes that the child is complaining of a headache and is having unilateral hemiplegia. What action should the nurse implement?

The nurse is caring for a 14-year-old child with disseminated intravascular coagulation (DIC). What clinical manifestations should the nurse expect to observe? (Select all that apply.)

In which condition are all the formed elements of the blood simultaneously depressed?

The nurse is caring for a child with hemophilia A. The child's activity is as tolerated. What activity is contraindicated for this child?

What activity should the school nurse recommend for a child with hemophilia A? (Select all that apply.)

A health care provider prescribes ibuprofen (Motrin), 5 mg/kg PO every 6 to 8 hours as needed for pain for a child with sickle cell disease. The child weighs 16 kg. The medication label states: "Ibuprofen 100 mg/5 ml." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number. ________________