Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System
0 view 0 purchase
Course
Introduction to Maternity and Pediatric Nursing
Institution
Introduction To Maternity And Pediatric Nursing
MULTIPLE CHOICE
1. A child with thalassemia major receives blood transfusions frequently. A nurse is aware that which of the following is a complication of repeated blood transfusions?
a. Hemarthrosis
b. Hematuria
c. Hemoptysis
d. Hemosiderosis
ANS: D
As a result of repeated bloo...
chapter 27 the child with a condition of the blood
blood blood forming organs or lymphatic system
introduction to maternity and pediatric nursing
keenan lindsay leifers in canada 1st edition
Written for
Introduction to Maternity and Pediatric Nursing
All documents for this subject (302)
Seller
Follow
ExamsRevision
Reviews received
Content preview
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A child with thalassemia major receives blood transfusions frequently. A nurse is aware
that which of the following is a complication of repeated blood transfusions?
a. Hemarthrosis
b. Hematuria
c. Hemoptysis
d. Hemosiderosis
ANS: D
As a result of repeated blood transfusions, excessive deposits of iron (hemosiderosis)
are stored in tissues.
DIF: Cognitive Level: Comprehension REF: 647 OBJ: 16
TOP: Thalassemia KEY: Nursing Process Step: Data Collection
2. A child has just been diagnosed with acute lymphoblastic leukemia. What is the result of
an overproduction of immature white blood cells in the bone marrow?
a. Decreased T-cell production
b. Decreased hemoglobin
c. Increased blood clotting
d. Increased susceptibility to infection
ANS: D
An overproduction of immature white blood cells increases the child’s susceptibility
to infection.
DIF: Cognitive Level: Comprehension REF: 650 OBJ: 14 | 15
, TOP: Leukemia KEY: Nursing Process Step: Data Collection
3. A child receiving a transfusion states symptoms of back pain and itching. What is the best
initial action by a nurse?
a. Notify the charge nurse.
b. Disconnect intravenous lines immediately.
c. Give diphenhydramine (Benadryl).
d. Clamp off blood and keep line open with normal saline.
ANS: D
If a blood transfusion reaction occurs, the first action is to stop the blood infusion,
keep the line open with normal saline, and notify the charge nurse.
DIF: Cognitive Level: Application REF: 654 OBJ: 16
TOP: Blood Transfusion KEY: Nursing Process Step:
Implementation
4. What would a nurse include in a teaching plan about mouth care of a child receiving
chemotherapy?
a. Use a commercial mouthwash.
b. Clean teeth with a soft toothbrush.
c. Avoid use of a Water-Pik.
d. Inspect the mouth weekly for ulcerations.
ANS: B
A soft toothbrush reduces capillary damage and mucous membrane breakdown and
prevents bleeding and infection. Commercial mouthwashes may kill oral flora that
combat infection. Water-Pik is useful for toughening gums.
DIF: Cognitive Level: Application REF: 650 OBJ: 15
TOP: Leukemia Care KEY: Nursing Process Step: Planning
5. A nurse notes that a 4-year-old child’s gums bleed easily and there is bruising and
petechiae on the extremities. Which lab value is consistent with these symptoms?
a. Platelet count of 25 109/L
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamsRevision. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $5.61. You're not tied to anything after your purchase.
