CHAPTER 27 THE CHILD WITH A CONDITION OF THE BLOOD, BLOOD-FORMING ORGANS, OR LYMPHATIC SYSTEM KEENAN-LINDSAY: LEIFER’S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA, 1ST EDITION

MULTIPLE CHOICE 1. A nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food would the nurse emphasize as being a rich source of iron? a. An egg white b. Dried fruit c. A banana d. A carrot ANS: B Good nutritional sources of iron include boiled egg yolk, liver, green leafy vegetables, iron-fortified cereal, dried fruits, beans, nuts, and wholegrain breads. DIF: Cognitive Level: Comprehension REF: 643 OBJ: 6 TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Implementation 2. Which statement by a caregiver may indicate a cause for a 9-month-old’s iron deficiency anemia? a. “Formula is so expensive. We switched to regular milk right away.” b. “She almost never drinks water.” c. “She doesn’t really like peaches or pears, so we stick to bananas for fruit.”N MURSINGTB.CO d. “I give her a piece of bread now and then. She likes to chew on it.” ANS: A Because cow’s milk contains very little iron, infants should drink iron-fortified formula for the first year of life. DIF: Cognitive Level: Application REF: 643 OBJ: 4 TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Evaluation 3. What is important for a nurse to consider when administering elemental iron drops to a child on the pediatric unit? a. Administer with milk b. Administer with orange juice c. Administer with water d. Administer on a full stomach ANS: B Vitamin C aids in the absorption of iron, whereas food and milk interfere with the absorption of iron. DIF: Cognitive Level: Application REF: 643 OBJ: 4 TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Implementation 4. What is the result of a deficiency of factor IX? a. Thalassemia b. Idiopathic thrombocytopenic purpura c. Hemophilia A d. Christmas disease