Hematology (Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder)

1. The nurse is conducting a physical examination of a toddler with suspected lead poisoning. Lab results indicate blood lead level 52 m g/dL. Which action would the nurse expect to happen next? A) Repeat testing within 2 days and prepare to begin chelation therapy as ordered B) Repeat testing within 1 week with education to decrease lead exposure C) Confirm with repeat testing in 1 month and referral to local health department D) Prepare to admit child to begin chelation therapy 2. A nurse is conducting a physical examination of a 5-year-old with suspected iron- deficiency anemia. How would the nurse evaluate for changes in neurologic functioning? A) “Open your mouth so I can look inside your cheeks and lips.” B) “Do you have any bruises on your feet or shins?” C) “Will you show me how you walk across the room?” D) “Let me see the palms of your hands and soles of your feet.” 3. The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is providing discharge instructions about home care and safety recommendations to the boy and his parents. Which response indicates a need for further teaching? A) “We should avoid aspirin and drugs like ibuprofen.” B) “He can resume participation in football in 2 weeks.” C) “Swimming would be a great activity.” D) “Our son cannot take any antihistamines.” 4. The nurse is assessing a child with suspected thalassemia. Which of the following would the nurse expect to assess? A) Dactylitis B) Frontal bossing C) Presence of clubbing D) Presence of spooning 5. The nurse is caring for a child recently diagnosed with glucose-6-phosphate dehydrogenase (G6PD) deficiency. The nurse is teaching the parents about triggers that may result in oxidative stress. Which of the following responses indicates a need for further teaching? A) “I doubt he will ever eat fava beans, but they could trigger hemolysis.” B) “He must avoid exposure to naphthalene, an agent found in mothballs.” C) “He must never take methylene blue for a urinary tract infection.” D) “My son can never take penicillin for an infection.” Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 284 6. The nurse is caring for a 13-year-old girl with von Willebrand disease. After teaching the adolescent and her parents about this disorder and care, which response by the parents indicates a need for additional teaching? A) “We need to administer Stimate prior to dental work.” B) “We should be aware that she may suffer from menorrhagia.” C) “We should administer desmopressin as often as needed.” D) “We understand that she may have frequent nosebleeds.”