Exam 30: The Child with Hematologic or Immunologic Dysfunction

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A young child with human immunodeficiency virus (HIV) is receiving several antiretroviral drugs. What is the purpose of these drugs?

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A child with severe anemia requires a unit of red blood cells (RBCs). The nurse explains to the child that the transfusion is necessary for which reason?

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A health care provider prescribes OxyContin (Oxycodone), 7.5 mg PO every 4 to 6 hours as needed for pain for a child with sickle cell disease. The medication label states: "OxyContin 5 mg/1 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. ________________

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What statement is descriptive of most cases of hemophilia?

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The clinic nurse is evaluating causes for iron deficiency caused by inadequate supply of iron. What should the nurse recognize as causes for iron deficiency caused by an inadequate iron supply? (Select all that apply.)

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For children who do not have a matched sibling bone marrow donor, the therapeutic management of aplastic anemia includes what intervention?

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In anticipation of the admission of a child with hereditary spherocytosis (HS) who is experiencing an aplastic crisis, what action should the nurse plan?

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Care for the child with acute idiopathic thrombocytopenic purpura (ITP) includes which therapeutic intervention?

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What therapeutic intervention is most appropriate for a child with b-thalassemia major?

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The regulation of red blood cell (RBC) production is thought to be controlled by which physiologic factor?

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The clinic nurse is evaluating causes for iron deficiency due to impaired iron absorption. What should the nurse recognize as causes for iron deficiency due to impaired iron absorption? (Select all that apply.)

(Multiple Choice)
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The majority of children in the United States with human immunodeficiency virus (HIV) infection acquired the disease by which means?

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The health care provider has prescribed a unit of packed red blood cells to be administered over 3 hours to a child with sickle cell disease. The unit from the blood bank totals 240 ml. What milliliters per hour should the nurse set the infusion pump to deliver the packed red blood cells? Fill in the blank and record your answer in a whole number. ____________

(Short Answer)
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The nurse is teaching a parent of an infant to limit the amount of formula to encourage the intake of iron-rich food. What amount should the nurse teach to the parent?

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What statement best describes iron deficiency anemia in infants?

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What are signs and symptoms of anemia? (Select all that apply.)

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What explanation provides the rationale for why iron-deficiency anemia is common during infancy?

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What condition is an inherited immunodeficiency disorder characterized by absence of both humoral and cell-mediated immunity?

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The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. What statement most accurately reflects inheritance of SCA?

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The child with sickle cell disease requires 150% of the 24-hour fluid maintenance. Calculate the 24-hour maintenance fluid requirement (ml/day) for a child with sickle cell disease weighing 12 kg. Fill in the blank. Record your answer in a whole number. __________________

(Short Answer)
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