Hematology Practice Q's

The nurse is conducting discharge teaching with an adolescent with hemophilia. Which statement by the client indicates a need for further teaching?

*"I'll use a straight razor when I start shaving"*

A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a minor trauma. The mother states that the toddler is very active and is difficult, constantly saying "no." Which response would the nurse communicate?

*"Toddlers are curious, trying to make decisions and be independent"* -Most common site for bleeding is joints (because of weight bearing and constant movement)

Which child should be placed nearest the nurse's station upon admission?

*An infant with acute laryngotracheobronchitis* -Might need immediate breathing help if airway becomes obstructed

A child with sickle cell disease experiences a sequestration crisis. The parents ask how it differs from a painful episode. Which is the best response by the nurse?

*Blood volume decreased and signs of shock appear* -Pooling of blood in the liver and spleen

Which child is the best roommate option for child admitted in a vasoocclusive crisis?

*Child with thalassemia*

Which is the priority nursing intervention to prevent thrombus formation in a child with sickle cell anemia?

*Encouraging fluids* -Symptoms begin when dehydration occurs -Prevent vasoocclusive crisis

What is the most common cause of anemia in 1-year-olds?

*Iron deficiency*

Which discharge education would the nurse provide the parents of a 3 y/o child with thalassemia?

*Minimize the risk of infection*

Which is the most appropriate nursing intervention for an adolescent child with sickle cell anemia?

*Teaching the family how to limit sickling episodes*

Which nursing intervention are most important in the care f an infant with iron-deficiency anemia?

-Conserving the infant's energy -Protecting the infant from infection -Teaching parents about nutrition

The child who is HIV+ has CD4 count that shows severe immunosuppression. Which immunizations can the child be given safely at this time?

-HepA -Polio vaccine -DTaP

Which clinical signs of hydration would the nurse assess in a toddler experiencing a sickle cel crisis?

-Turgor of tissue -Texture of mucous membranes

Which assessment findings of a child would indicate a need for genetic consultation?

-Visual or hearing problems -Development of speech delays -Excessive bleeding or excessive clotting