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PN 108 PREPU CHAPTER 37 EXAM QUESTIONS AND VERIFIED ANSWERS
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PN 108 PREPU CHAPTER 37 EXAM QUESTIONS AND VERIFIED ANSWERS...
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A nurse is caring for a child who is experiencing heart failure. Which ofthe following assessment data was most likely seen when initially
examined? - ANSWER Tachycardia
After teaching a group of students about hemophilia, the instructor
determines that the students have understood the information when they
identify hemophilia A as involving a problem with: - ANSWER Factor
VIII
The nurse is collecting data on a child who is noted to be lethargic and
have inflammation of both eyes and a strawberry-colored tongue. These
clinical manifestations suggest the child would likely have which of the
following disorders? - ANSWER Kawasaki disease
Some children with iron-deficiency anemia may be prescribed iron
dextran by injection. This should be injected - ANSWER via Z-track
technique.
A school-aged child is admitted to the hospital with a vaso-occlusive
sickle cell crisis. Which measure in his care should be given priority? -
ANSWER Maintaining a fluid intravenous line
To prevent further sickle cell crisis, you would advise the parents of a
child with sickle cell anemia to: - ANSWER notify a health care provider
if the child develops an upper respiratory infection.
Which nursing diagnosis would be most appropriate for a child with
idiopathic thrombocytopenic purpura? - ANSWER Which nursing
diagnosis would be most appropriate for a child with idiopathic
thrombocytopenic purpura?
The nurse is caring for a 10-year-old boy with hemophilia. He asks the
nurse for suggestions about appropriate physical activities. Which
activity would the nurse most likely recommend? - ANSWER Baseball
, When developing the postoperative plan of care for a child with sickle
cell anemia who has undergone a splenectomy, which would the nurse
identify as the priority? - ANSWER Risk for infection
When conducting a physical examination of a child with suspected
Kawasaki disease, which finding would the nurse expect to assess? -
ANSWER Strawberry tongue
The nurse is caring for a child with thalassemia who is receiving
chelation therapy at home using a battery-operated pump. After teaching
the parents about this treatment, which statement by the mother
indicates a need for additional teaching? - ANSWER "I can have the
nurse administer the chelation therapy if I am uncomfortable."
A child with heart disease is receiving digoxin and a diuretic. Which
laboratory test result would be most important for the nurse to monitor? -
ANSWER Serum potassium level
A nurse is teaching the parents of a child diagnosed with rheumatic fever
about prescribed drug therapy. Which statement would indicate to the
nurse that additional teaching is needed? - ANSWER "We can stop the
penicillin when her symptoms disappear."
A nurse is preparing a 7-year-old girl for bone marrow aspiration. Which
site should she prepare? - ANSWER Iliac crest
An 8-month-old girl appears pale, irritable, and anorexic. On blood
testing, the red blood cells are hypochromic and microcytic. The
hemoglobin level is less than 5 g/100 mL, and the serum iron level is
high. Which symptom should the nurse most expect as a result of
excessive iron deposits? - ANSWER An enlarged spleen
T/F: In hemophilia A, the classic form, only females manifest a bleeding
disorder. - ANSWER False
T/F: In von Willebrand's disease, girls exhibit unusually heavy menstrual
flow. - ANSWER True
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