Anemia Peds

Front 1

The regulation of red blood cell production is thought to be controlled by:

Back 1

Hemoglobin does not directly control RBC production. If there is insufficient hemoglobin to adequately oxygenate the tissue, then erythropoietin may be released.

Front 2

Which of the following is an accurate description of the physiologic defect caused by anemia?

Back 2

Decreased oxygen-carrying capacity of blood

Front 3

A mother states that she brought her child to the clinic because the 3-year-old girl was not keeping up with her siblings. During physical assessment, the nurse notes that the child has pale skin and conjunctiva and has muscle weakness. The hemoglobin on admission is 6.4 g/dl. After notifying the practitioner of the results, the nurse’s priority intervention is to:

Back 3

Minimize energy expenditure to decrease cardiac workload.
expected range is 11.5 to 15.5 g/dl.

Front 4

A child with severe anemia requires a unit of RBCs. The nurse explains to the child that the transfusion is necessary to:

Back 4

Increase her energy so she will not be as tired

Front 5

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 which of the following complications?

Back 5

Circulatory overload

Front 6

Which of the following explains why iron deficiency anemia is common during infancy?

Back 6

Cow’s milk is a poor source of iron.

Front 7

Which of the following statements best describes iron deficiency anemia in infants?

Back 7

Clinical manifestations are related to a reduction in the amount of oxygen available to tissues.

Front 8

Which of the following should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations?

Back 8

Adequate dosage will turn the stools a tarry green color.

Front 9

Therapeutic management of a 6-year-old child with hereditary spherocytosis would usually be which of the following?

Back 9

Perform a splenectomy.
corrects the hemolysis that occurs in HS. The splenectomy is generally reserved for children older than age 5 years with symptomatic anemia

Front 10

Which of the following is a condition in which the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin?

Back 10

Sickle cell anemia

Front 11

The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. The nurse should know that:

Back 11

Each sibling has a 25% chance of having SCA.

Front 12

The clinical manifestations of SCA are primarily the result of which of the following?

Back 12

Increased RBC destruction

Front 13

A school-age child is admitted in vasoocclusive sickle cell crisis (pain episode). The child’s care should include which of the following?

Back 13

Hydration, pain management

Front 14

A child with SCA develops severe chest and back pain, fever, a cough, and dyspnea. The first action by the nurse is to:

Back 14

Notify practitioner, since chest syndrome is suspected.

Front 15

Adequate hydration is essential to minimize sickling and delay the vasooclusion and hypoxia-ischemia cycle. The nurse teaches the parents to:

Back 15

Check for moist mucous membranes.

Front 16

Which of the following statements best describes -thalassemia major (Cooley anemia)?

Back 16

Increased incidence occurs in families of Mediterranean extraction.

Front 17

The therapeutic management of children with -thalassemia major consists primarily of which of the following?

Back 17

Frequent blood transfusions

Front 18

Iron overload is a side effect of chronic transfusion therapy. Treatment to minimize this complication includes:

Back 18

Infusion of deferoxamine

Front 19

In which of the following conditions are all the formed elements of the blood simultaneously depressed?

Back 19

Aplastic anemia

refers to a bone marrow–failure

Front 20

For children who do not have a matched sibling bone marrow donor, the therapeutic management of aplastic anemia includes:

Back 20

Immunosuppressive therapy

Front 21

Which of the following is descriptive of most cases of hemophilia?

Back 21

X-linked recessive inherited disorder in which a blood clotting factor is deficient

Front 22

The nurse is teaching the family of a child, age 8 years, with moderate hemophilia about home care. The initial therapy for a joint injury is:

Back 22

IV infusion of factor VIII concentrates

Front 23

Which of the following is an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets?

Back 23

Idiopathic thrombocytopenic purpura

Front 24

Nursing care for the child with acute ITP includes:

Back 24

Intravenous administration of anti-D antibody

Front 25

A toddler is diagnosed with chronic benign neutropenia. The parents are being taught about caring for their child. Which of the following is important to include?

Back 25

Avoid large indoor crowds and people who are ill.

Front 26

The majority of children in the United States with HIV infection acquired the disease:

Back 26

Perinatally from their mothers

Front 27

A young child with human immunodeficiency virus is receiving several antiretroviral drugs. The purpose of these drugs is to:

Back 27

Delay disease progression

Front 28

The nurse is planning care for an adolescent with acquired immunodeficiency syndrome. Which of the following is the priority nursing goal?

Back 28

Prevent infection.

Front 29

The school nurse is informed that a child with HIV will be attending school soon. Which of the following is an important nursing intervention?

Back 29

Carefully follow universal precautions.

Front 30

Which of the following is an inherited immunodeficiency disorder characterized by absence of both humoral and cell-mediated immunity?

Back 30

Severe combined immunodeficiency syndrome