Nclex questions 3

A child with beta thalassemia is receiving long-term blood transfusion therapy for the treatment of a disorder. Chelation therapy is prescribed as a result of too much iron from the transfusions. which medication should the nurse anticipate being prescribed?

Deferoxamine

The nurse is conducting staff in-service training on von Willebrand's disease. Which should the nurse include as characteristics of von Willebrand's disease?

Easy bruising occurs, gum bleeding occurs, it is a hereditary bleeding disorder, treatment and care are similar to that for hemophilia, the disorder cause platelets to adhere to damaged endothelium

The clinic nurse instructs parents of a child with sickle cell anemia about the precipitating factors related to sickle cell crisis. Which, if identified by the parents as a precipitating factor, indicates the need for further instruction?

Fluid Overload

The nurse analyzes the lab values of a child with leukemia who is receiving chemotherapy. The nurse notes that the platelet count is 19,500 mm. On the basis of the lab result, which intervention should the nurse include in the plan of care?

Initiate bleeding precautions

A 10 year old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should prepare to administer which prescription?

Intravenous infusion with factor 8

A child undergoes surgical removal of a brain tumor. During the postoperative period, the nurse notes that the child is restless, the pulse rate is elevated, and the blood pressure has decreased significantly from the baseline value. The nurse suspects that the child is in shock. Which is the most appropriate nursing action?

Notify the primary health care provider (PHCP)

The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. What action should the nurse preform immediately?

Notify the surgeon

The mother of a 4-year-old child tells the pediatric nurse that the child's abdomen seems to be swollen. During further assessment the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilm's tumor, should avoid which during the physical assessment?

Palpating the abdomen for a mass

The nurse analyzes the lab results of a child with hemophilia. The nurse understands that which result will most likely be abnormal in this child?

Partial thromboplastin time

Lab studies are performed for a child suspected to have iron deficiency anemia. The nurse reviews the lab results, knowing that which result indicates this type of anemia?

Red blood cells that are mircocytic and hypochromic

Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection?

Reduce exposure to environmental organisms, Use strict aseptic technique for all procedures, ensure that anyone entering the child's room wears a mask

The nurse is reviewing a health care providers prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescriptions documented in the child record should the nurse question?

Restricted fluid intake, give meperidine 25 mg intravenously, every 4 hours for pain

The nurse is providing home care instructions to the parents of a 10-year-old child with hemophilia. Which sport activity should the nurse suggest for this child?

Swimming

A diagnosis of Hodgkin's disease is suspected in a 12-year-old child. Several diagnostic studies are preformed to determine the presence of the disease. What diagnostic test result will confirm the diagnosis of Hodgkin's disease?

The presence of Reed-Shernberg cells in the lymph nodes.

The nurse is monitoring a 3-year old child for signs and symptoms of increased intracranial pressure (ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP?

Vomiting

The nurse provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a member of the nursing staff indicates a need for information?

" The child does not experience pain at the primary tumor site"

A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Lab results indicate that the child neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden and asks for a vase for the flowers. which response should the nurse provide the grandmother?

" The flowers from your garden are beautiful, but should not be placed in the child's room at this time."

A nursing student is presenting a clinical conference and discusses the causes of beta thalassemia. The nursing student informs the group that as child at greatest risk of developing this disorder is which of these?

A child of Mediterranean descent

The nurse is preforming an assessment on a 10-year-old child suspected to have Hodgkin's disease. Which assessment findings are specifically characteristics of the diease?

Abdominal pain, painless, firm, and movable adenopathy in the cervical area

The nurse is instructing the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the parents?

Administer the iron through a straw

A 4-year-old child is admitted to the hospital for abdominal pain. The mother reports that the child has been pale and excessively tired and is bruising easily. On physical examination, lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being preformed because aucte lymphocytic leukemia is suspected. The nurse determines that which lab result confirms this diagnosis?

Bone marrow biopsy showing blast cells