NURS 2356: Hematologic Disorders in Pediatrics Questions
With Complete Solutions
*What does a Neutropenic diet consist of? and when would
someone be on one?* Correct Answer *Eat: Canned fruits
(from undamaged cans), fruits that can be washed thoroughly,
meats that can be thoroughly cooked, eat pizza 1 hr after
delivery; AVOID: yogurt, letus, strawberries, whole black
pepper, deli meat, slurpees, soft served ice-cream; ANC below
500*
*What is the significance of drawing an Absolute Neutrophil
Count (ANC)* Correct Answer *Measuring the amount of
Neutrophils in the blood, if low the person's at risk for a
bacterial infection*
↑ lead absorption effects which systems? (3) Correct Answer
hematologic.
renal.
neurologic.
3 degrees of Beta Thalassemia: Correct Answer Thalassemia
major "Cooley's Anemia".
Thalassemia intermediate.
Thalassemia minor.
A sex linked (X-linked) hereditary disorder in which the blood
clots very slowly due to a deficiency of either two coagulation
factors: Correct Answer Hemophilia
,an inherited disorder characterized by less Hgb and fewer RBCs
in the body than normal: Correct Answer Thalassemia
bone marrow production in children over 5 yrs old: Correct
Answer pelvis (iliac crest)
bone marrow production in infants: Correct Answer tibia
bone marrow production in toddlers/preschoolers: Correct
Answer - femur.
- tibia.
bone marrow production in young adults/adults: (7) Correct
Answer *sternum*.
*pelvis*.
ribs.
clavicle.
skull (for thalessemia).
scapula.
vertebra.
caused by pooled blood which enlarges the spleen significantly.
Correct Answer splenic sequestration
caused by vaso-occlusion of vessels in brain, resulting in
cerebral infarction. Correct Answer cerebrovascular accident
[vaso-occlusive crisis]
chelating agents for lead poisoning treatment: Correct Answer
*calcium EDTA* [IV over 5 days; foley].
, *succimer "Chemet"* [no lead intake; mix with food, TID for 5
days or BID for 2 wks in hospital, D/N/V, rash].
*Dimercaprol "BAL"*: [IM q4h for 5-7 days].
chemotherapeutic agent that interferes with sickle process and
used to revert the child back to fetal Hgb: Correct Answer
hydroxyurea
complete process which body controls bleeding: Correct
Answer hemostasis
condition when RBC and Hgb levels are lower than normal:
Correct Answer anemia
consequences of SCD related to sexuality: Correct Answer -
*d*elayed puberty/low self-esteem.
-*i*mpaired fertility.
-*i*mpotence.
-*p*riapism (lasting more than 4hrs)
Decrease in the number of circulating platelets, although
adequate megakaryocytes (precursor to platelets) are present:
Correct Answer Immune Thrombocytopenic Purpura (ITP)
diagnostic tests to detect lead poisoning: (3) Correct Answer
*xrays*.
-lead paint chips in GI tract and bones.
-give golytely to flush GI tract.
*erythrocyte protoporphyrin (ep) test*.
-↑ enzyme with ↑ lead level.
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