Question 1

An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. These manifestations are most suggestive of what complication?

Accepted Answer

A)  Air embolism 
B)  Allergic reaction 
C)  Hemolytic reaction 
D)  Circulatory overload

Question 2

The school nurse is informed that a child with human immunodeficiency virus (HIV) infection will be attending school soon. What is an important nursing intervention to include in the plan of care?

Accepted Answer

A)  Carefully follow universal precautions. 
B)  Inform the parents of the other children. 
C)  Determine how the child became infected. 
D)  Reassure other children that they will not become infected.

Question 3

A child with hemophilia A will have which abnormal laboratory result?

Accepted Answer

A)  PT (ProTime) 
B)  Platelet count 
C)  Fibrinogen level 
D)  PTT (partial thromboplastin time)

Question 4

The nurse is teaching parents of a child being discharged from the hospital after a splenectomy about the risk of infection. What should the nurse include in the teaching session? (Select all that apply.)

Accepted Answer

A)  Avoid obtaining the pneumococcal vaccination for the child. 
B)  Avoid obtaining the meningococcal vaccination for the child. 
C)  The child should receive prophylactic penicillin for certain procedures. 
D)  Have the child immunized with the Haemophilus influenzae type b vaccination. 
E)  Notify the health care provider if your child develops a fever of 38.5° C (101.3° F).

Question 5

The nurse is preparing to administer a unit of packed red blood cells to a hospitalized child. What is an appropriate action that applies to administering blood?

Accepted Answer

A)  Take the vital signs every 15 minutes while blood is infusing. 
B)  Use blood within 1 hour of its arrival from the blood bank. 
C)  Administer the blood with 5% glucose in a piggyback setup. 
D)  Administer the first 50 ml of blood slowly and stay with the child.

Exam 30: The Child with Hematologic or Immunologic Dysfunction

An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. These manifestations are most suggestive of what complication?

The school nurse is informed that a child with human immunodeficiency virus (HIV) infection will be attending school soon. What is an important nursing intervention to include in the plan of care?

A child with hemophilia A will have which abnormal laboratory result?

The nurse is teaching parents of a child being discharged from the hospital after a splenectomy about the risk of infection. What should the nurse include in the teaching session? (Select all that apply.)

The nurse is preparing to administer a unit of packed red blood cells to a hospitalized child. What is an appropriate action that applies to administering blood?