Exam 30: The Child with Hematologic or Immunologic Dysfunction

What physiologic defect is responsible for causing anemia?

The nurse is caring for a 12-year-old child with b-thalassemia. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

The nurse is planning care for an adolescent with acquired immunodeficiency syndrome. What is the priority nursing goal?

The nurse is preparing to admit a 1-month-old infant with severe congenital neutropenia (Kostmann disease). What clinical features of severe congenital neutropenia should the nurse recognize? (Select all that apply.)

What condition occurs when the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin?

The nurse is teaching the family of a child, age 8 years, with moderate hemophilia about home care. What should the nurse tell the family to do to minimize joint injury?

A health care provider prescribes iron (Niferex) elixir, 2 mg/kg orally daily for a preterm infant. The infant weighs 4 kg. The medication label states: "Niferex 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 using one decimal place. ________________

The clinic nurse is evaluating lab results for a child. What recorded hematocrit (Hct) result is considered within the normal range?

What medication is classified as an antiretroviral?

The nurse is administering a unit of blood to a child. What are signs and symptoms of a transfusion reaction? (Select all that apply.)

What statement best describes b-thalassemia major (Cooley anemia)?

The clinic nurse is evaluating lab results for a child. What recorded hemoglobin (Hgb) result is considered within the normal range?

What rationale explains why prolonged use of oxygen should be discouraged in a child with anemia?

What immunoglobulin pattern does the nurse expect in a child recently diagnosed with Wiskott-Aldrich syndrome?

Nursing strategies to improve the growth and development of the child with human immunodeficiency virus (HIV) infection should include what?

Iron overload is a side effect of chronic transfusion therapy. What treatment assists in minimizing this complication?

A child with sickle cell anemia (SCA) develops severe chest and back pain, fever, a cough, and dyspnea. What should be the first action by the nurse?

The nurse is preparing a community outreach program about the prevention of iron-deficiency anemia in infants. What statement should the nurse include in the program?

A toddler is diagnosed with chronic benign neutropenia. The parents are being taught about caring for their child. What information is important to include?

A health care provider prescribes morphine sulfate, 0.2 mg/kg IV every 2 to 4 hours as needed for pain for a child with sickle cell disease. The child weighs 20 kg. The medication label states: "Morphine sulfate 5 mg/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 using one decimal place. ________________