Hematologic Conditions NCLEX

Which statement by the mother of a toddler should lead the nurse to suspect that the child is at risk for iron deficiency anemia? SA A. "He drinks over three cups of milk per day." B. "I can't keep enough apple juice in the house; he must drink over 10oz/day." C. "He refuses to ear more than 2 different kinds of vegs." D. "He doesn't like meat, but he will eat small amts of it." E. "He sleeps 12 hrs/night and takes 2 hrs nap."

A. "He drinks over three cups of milk per day." B. "I can't keep enough apple juice in the house; he must drink over 10oz/day." Rationale: Toddlers should have b/w 2-3 cups of milk/day and 8 oz of juice/day.

Which of the following actions indicates that the parents of a 12 mo old with iron deficiency anemia understand how to administer iron supplements? SA A. They administer iron supplements in combination with fruit juice B. They admin iron supplements with meals C. They report dark stools D. They brush the child's teeth after admin of the iron supplement E. They decrease dietary intake of foods fortified with iron

A. They administer iron supplements in combination with fruit juice D. They brush the child's teeth after admin of the iron supplement Rationale: admin w juice, not milk or tea; admin on empty stomach; dark stool is normal; stains teeth so brushing is good; do not need to decrease iron foods.

A mother asks if her child's iron deficiency anemia is r/o the child's frequent infections. The nurse responds based on the understanding of which of the following? A. Little is know about iron deficiency anemia and its relationship to infection in children B. Children with iron deficiency anemia are more susceptible to infection than are other children C. Children with iron deficiency anemia are less susceptible to infection D. Children with iron deficiency anemia are equally susceptible as are other children

B. Children with iron deficiency anemia are more susceptible to infection than are other children

Which of the following foods should the nurse encourage the mother to offer to her child with iron deficiency anemia? A. Rice cereal, whole milk, and yellow vegetables. B. Potato, peas, and chicken C. Macaroni, cheese, and ham D. Pudding, green leafy vegs, and rice

B. Potato, peas, and chicken Rationale: potatoes, peas, chicken, green vegs, and rice cereals contain significant amt of iron.

the nurse is teaching the parents of a child with sickle cell anemia disease. To instruct them on how to prevent sickle cell crisis, the nurse should include which instructions? A. exercise in cool temp B. drink at least 2 quarts of fluids per day C. avoid contact sports D. take anti-inflammatory meds before exercising.

B. drink at least 2 quarts of fluids per day

The nurse explains to the parents of a 1 yo child admitted to the hospital in sickle cell crisis that the local tissue damage the child has on admission is caused by which factor? A. autoimmune reaction complicated by hypoxia B. Lack of o2 in RBC C. obstruction to circulation D. elevated serum bilirubin concentration

C. obstruction to circulation

the parents of a child with sickle cell disease ask the nurse why their child's hgb was normal at birth but now the child has S hgb. Which response by the nurse is appropriate? A. "the placenta bars passage of the hemoglobin S from the mother to the fetus." B. " the red bone marrow does not begin to produce hgb S until several mo after birth." C. "antibodies transmitted from you to the fetus provide the newborn with temporary immunity." D. "the newborn has a high concentration of fetal hgb in the blood for sometime after birth."

D. "the newborn has a high concentration of fetal hgb in the blood for sometime after birth."

A 14 yo girl with sickle cell disease has her fourth hospitalization for sickle cell crisis. Her family is planning a ski vacation in the mountains. What should the nurse tell the parents? A. Encourage them to go on the trip B. Go on the trip, but find a sitter for the 14 yo C. Suggest the trip be postponed until next year D. Explain that the high altitude may cause a crisis.

D. Explain that the high altitude may cause a crisis.

What is the most appropriate method to use when drawing blood from a child with hemophilia? A. Use finger punctures for lab draws B. Prepare to administer plts C. Apply heat to the extremity before venipunctures D. Schedule all labs to be drawn at one time

D. Schedule all labs to be drawn at one time