NCLEX-PN HEMATOLOGICAL PEDIATRIC

A child is admitted to the hospital with sickle cell crisis. The nurse checks this child for which frequent symptom of the disorder?

Pain

The nurse is explaining causes and reasons of hemophilia A to the parents of a child with the disease. The nurse should make which statement about hemophilia A?

"Hemophilia A results from deficiency of factor VIII."

The nurse reinforces home care instructions to the parents of a 3-year-old child who has been hospitalized with hemophilia. Which statement by a parent indicates the need for further teaching?

"I will avoid immunizations and dental hygiene treatments for my child."

The pediatric nursing instructor asks a nursing student to describe the cause of the symptoms that occur in sickle cell disease. Which is the correct response by the nursing student?

"Sickled cells are unable to flow easily through the microvasculature, and their clumping obstructs blood flow."

The parents of a child with sickle cell disease ask the nurse why their child is always anemic. What is the best response by the nurse?

"The sickle cells are very fragile and break easily, which leads to anemia."

The nurse reinforces home care instructions to a client with sickle cell anemia. Which statement by the client indicates a need for further teaching?

"When I'm feeling better, I'm returning to the soccer team."

The nursing student is presenting a clinical conference and discusses the causative factors related to beta-thalassemia. Which group is at greatest risk of developing this disorder?

A child of Mediterranean descent

Oral iron is prescribed for a child with an iron deficiency anemia, and the nurse provides instructions to the mother regarding the administration of the iron. The nurse instructs the mother to administer the iron in which way?

Between meals

A child with sickle cell anemia is being discharged after treatment for a crisis. Which instructions should the nurse reinforce to prevent another crisis from occurring? Select all that apply.

Drink plenty of fluids. Report a sore throat immediately. Wash hands before meals and after playing.

The nurse caring for a child with aplastic anemia is reviewing the laboratory results and notes a white blood cell (WBC) count of 6000 mm3 (6 × 109/L) and a platelet count of 20,000 mm3 (20 × 109/L). Which nursing intervention should be incorporated into the plan of care?

Encourage quiet play activities.

The nurse reinforces instructions to the parents of a child with sickle cell anemia regarding the precipitating factors related to pain crisis. Which, if identified by a parent as a precipitating factor, indicates the need for further teaching?

Fluid overload

A child suspected of sickle cell disease is seen in the clinic, and laboratory studies are performed. The nurse reviews the results of the laboratory studies and expects to note which characteristic of this disease?

Increased reticulocyte count

The nurse is reviewing the laboratory results of a child with aplastic anemia and notes that the white blood cell (WBC) count is 2000 mm3, and the platelet count is 150,000 mm3. Which nursing intervention should the nurse incorporate into the plan of care?

Maintain strict isolation precautions.

A nursing student is assigned to care for a child with hemophilia. The nursing instructor reviews the plan of care with the student and asks the student to describe the characteristics of this disorder. Which statement by the student indicates a need for further research?

Males inherit hemophilia from their fathers.

The nurse is caring for a child with a platelet disorder and should expect which prescriptions from the primary health care provider? Select all that apply.

Observe for bleeding. Encourage the child to rest. Assist the registered nurse (RN) with blood transfusions.

The nurse is reinforcing home care instructions to the mother of an infant who has just been found to have hemophilia. The nurse should instruct the mother to do which?

Pad crib rails and table corners.

Laboratory studies are performed on a child suspected of iron deficiency anemia. The nurse reviews the laboratory results, knowing that which finding indicates this type of anemia?

RBCs that are microcytic and hypochromic

A child suspected of having sickle cell disease (SCD) is seen in a clinic, and laboratory studies are performed. Which laboratory value is likely to be increased in sickle cell disease?

Reticulocyte count

The nurse and a mother are discussing care of her child's iron deficiency anemia. The nurse should suggest including which foods in the child's diet that are highest in iron? Select all that apply.

Spinach Apricots Raisins

The nurse is reinforcing home care instructions to the mother of a child with hemophilia. Which activity should the nurse suggest that the child can safely participate in with peers?

Swimming

The licensed practical nurse (LPN) is assisting in the admission of a child with suspected sickle cell crisis because of which signs/symptoms noted in this client? Select all that apply.

Swollen knee joint Pulse, 120 beats per minute Peripheral oxygen level of 89% Pain rated as a 6 on a scale of 1 to 10

The nurse is collecting data on a 12-month-old child with iron deficiency anemia. Which finding should the nurse expect to note in this child?

Tachycardia

The nurse observes a mother giving an oral iron supplement to her 6-year-old child with iron deficiency anemia. Which action by the mother indicates the need for further teaching?

The mother administered the iron with milk.