peds chp 28 Flashcards

Select the rationale for the relationship between children having anemia and lead poisoning?

A child with severe anemia requires a unit of red blood cells(RBC) the nurse explains to the child that the transfusion is necessary for which reason?

What explanation provides the rationale for why iron deficiency anemia is common during infancy?

what statement best describes iron deficiency anemia in infants?

The nurse is preparing a community outreach program about the prevention of iron deficiency anemia infants what statement should the nurse include in the program?

What rationale explains why prolonged use of oxygen should be discouraged in a child with anemia?

An overweight toddler with iron deficiency anemia which is the most likely explanation for the anemia?

An 8 yo girl is recieving a blood transfusion when the nurse notes she has developed precordial pain dyspnea distended neck veins slight cyanosis and a dry cough these manifestations are most suggestive of what complications?

Iron overload is a side effect of chronic transfusion therapy what treatment assists in minimizing this complication

The nurse is preparing to administer a unit of packed red blood cells to a hospitalized child what is an appropriate action that applies to administering blood?

What are signs and symptoms of anemia? (SATA)

The nurse is administering a unit of blood to a child what are the signs and symptoms of a transfusion reaction?(SATA)

The nurse is evaluating causes for iron deficiency due to impaired iron absorption what should the nurse recognize as causes for iron deficiency due to impaired iron absorption

Child with sickle cell crisis which signs and symptoms shows a child is having minor cerebral attack

The nurse is developing the plan of care for a hospitalized child with von williebrand disease what priority nursing intervention should be included in this child plan of care?

what therapeutic intervention is most appropriate for a child with B thalassemia major?

The nurse is teaching the family of a child age 8 years with moderate hemophilia about homecare what should the nurse tell the family to do to stop the bleeding?

The nurse is planning teaching for the parents of a child newly diagnosed with hemophilia will include information about which long term complication?

The nurse provides discharge teaching for the parents of a child newly diagnosed with hemophilia A which statement by the parents indicate that the teaching has been effective? (SATA)

The clinic nurse supervises a student nurse who is preparing to administer routine vaccinations to a child diagnosed with hemophilia period which instructions should the nurse provide to the student?

The nurse recieves 4 prescriptions for a child diagnosed with hemophilia A who was brought to the emergency department following an injury on the school playground the child has vomited once & has a headache which prescription should the nurse carry out first?

The school is caring for a child with hemophilia who fell on his arm during recess what supportive measures would the nurse implement first?

The nurse is teaching the family of a child with a 8 yo with moderate hemophilia about home care what should the nurse tell the family to do to minimize joint injury?

The clinical manifestations of sickle cell anemia (SCA) are primarily the result of which physiologic alterations?

What pain medication is contraindicated in children with sickle cell disease?

Which drink on a hot day indicates to the nurse that a teenager with sickle cell anemia understands dietary considerations related to the disease?

The parents of a child with sickle cell anemia(SCA) are concerned about subsequent children having the disease what statement most accurately reflects inheritance of SCA?

The nurse is triaging a 7 yo with sickle cell crisis the client is short of breath & vomiting and has a severe generalized body & joint pain what assessment finding requires the most immediate intervention?

A teenage client with sickle cell disease is admitted with a diagnosis of crisis the clients current prescription is morphine 2mg intravenous push every 4 hours prn the client appears comfortable while watching television & tells the nurse I have severe intolerable pain & rates it @ a 10 what action should the nurse take?

The nurse is preparing to administer a unit of packed red blood cells to a hospitalized child what are appropriate actions that applies to administering blood? (SATA)

The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesic causing addiction the nurse would explain what concerning narcotic analgesics?

What is priority nursing considerations when caring for a child with sickle cell anemia?

In a child with sickle cell anemia(SCA) adequate hydration is essential to minimize sickling & delay the vasoocculsion & hypoxia ischemia cycle what information should the nurse share with parents in a teaching plan? (SATA)