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Chapter 32: Caring for the Child With a Hematological Condition Nursing School Test Banks $15.49   Add to cart

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Chapter 32: Caring for the Child With a Hematological Condition Nursing School Test Banks

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Chapter 32: Caring for the Child With a Hematological Condition Nursing School Test Banks

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  • November 16, 2021
  • 27
  • 2022/2023
  • Exam (elaborations)
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Chapter 32: CarŤng for the Search … 

ChŤld WŤth a HematologŤcal
CondŤtŤon NursŤng School
Test Banks
Chapter 32: Caring for the Child With a Hematological
Condition

MULTIPLE CHOICE

1. A nursing student asks the instructor why he was
marked off on his care plan when explaining a low
hemoglobin level as being caused by anemia. What
response by the instructor is best?
A. Anemia is a symptom, not a disease.
B. Anemia only refers to a low red blood cell count.
C. Hemoglobin and anemia are unrelated.
D. The hemoglobin must not be too low.


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,ANS: A
Anemia is a symptom that can be caused by many disease other test bank
states. It is not a disease that explains low hemoglobin. The site
other answers are incorrect. test bank
A test bank
Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological
Adaptation
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

2. A child has mild anemia and the parent asks why this
makes the child have difficulty concentrating. What
response by the nurse is best?
A. All sick children have trouble concentrating.
B. Her anemia makes her too tired to think.
C. She may have another problem with her brain.
D. The brain isnt getting enough oxygen.
ANS: D
Anemia leads to decreased oxygenation of body tissues,
including the brain. A lowered cerebral oxygen
concentration can lead to dizziness and difficulty
concentrating. Stating that all sick children have this
problem is inaccurate and vague. The child may be tired, but
this answer is also vague and does not really address the
question. Describing the possibility of another medical
problem is not warranted at this time.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological
Adaptation
Integrated Process: Teaching/Learning
Difficulty: Moderate

PTS: 1

3. A 2-year-old childs hemoglobin is 8.2 g/dL. What action
by the nurse is best?
A. Ask the parents about activity level.

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, B. Document findings in the chart.
C. Notify the provider immediately.
D. Schedule a re-draw of blood in 6 months.
ANS: A
The normal hemoglobin for a child this age is 10.5512.7
g/dL, so this child is somewhat anemic. The nurse should
assess for other manifestations of anemia, including
normal activity level. The findings should be documented,
but this is not the only action that the nurse should take.
The provider needs to be notified, but it does not have to
be done immediately, as this is not an emergency. After a
full evaluation, the provider may or may not want to repeat
the laboratory work in 6 months.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Reduction of Risk
Potential
Integrated Process: Nursing Process: Assessment
Difficulty: Moderate

PTS: 1

4. A nurse working in pediatrics learns that the normal
hemoglobin value for an infant is high at birth, then
decreases by 2 months of age before increasing again as
the child grows. The nurse knows the reason for this shift
is which of the following?
A. Hemodilution from starting oral nutrition
B. Lower available oxygen while in utero
C. Rapid hemoglobin destruction at birth
D. Slower hemoglobin production after birth
ANS: B
The fetus needs a higher hemoglobin level to compensate
for the relatively low-oxygen environment of the uterus.
The other answers are incorrect.

Cognitive Level: Analysis/Analyzing
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological
Adaptation



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