GURANTEED
1. mother asks the nurse if her child's iron deficiency anemia is related to the
child's frequent infections. The nurse responds based on the understanding
of which of the following?
a.
Little is known about iron-deficiency anemia and its relationship to infection
in children.
b.
Children with iron deficiency anemia are more susceptible to infection than
are other children.
c.
Children with iron-deficiency anemia are less susceptible to infection than are
other children.
d.
Children with iron-deficient anemia are equally as susceptible to infection as
are other children.: d. Children with iron-deficient anemia are equally as suscepti-
ble to infection as are other children
Rationale: Children with iron-deficiency anemia are more susceptible to infection
because of marked decreases in bone marrow functioning with microcytosis
2. The clinic nurse instructs the mother of a child with sickle cell disease
about the precipitating factors related to pain crisis. Which of the following, if
identified by the mother as a precipitating factor, indicates the need for further
instructions?
a.
Infection
b.
Trauma
c.
Fluid overload
d.
Stress: c. Fluid overload
Rationale:
,Pain crisis may be precipitated by infection, dehydration, hypoxia, trauma, or physical
or emotional stress.
The mother of a child with sickle cell disease should encourage fluid intake of 1 1/2
to 2 times the daily requirement to prevent dehydration
3. When a client is diagnosed with aplastic anemia, the nurse monitors for
changes in which of the following physiological functions?
,a.
Bleeding tendencies
b.
Intake and output
c.
Peripheral sensation
d.
Bowel function: a. Bleeding tendencies
Aplastic anemia decreases the bone marrow production of RBCs, WBCs, and
Platelets. The client is at risk for bruising and bleeding tendencies.
4. A client was admitted with iron deficiency anemia and blood-streaked eme-
sis. Which question is most appropriate for the nurse to ask in determining
the extent of the client's activity intolerance?
a.
"What activities were you able to do 6 months ago compared with present?"
b.
"How long have you had this problem?"
c.
"Have you been able to keep up with all your usual activities?"
d.
"Are you more tired now than you used to be?": a. What activities were you able
to do 6 months ago compared with present?
Rationale: It is difficult to determine activity intolerance without objectively comparing
activities from one time frame to another. Because iron deficiency anemia can occur
gradually and individual endurance varies, the nurse can best assess the clients
activity tolerance by asking the client to compare activities 6 months ago and at the
present
5. When discussing appropriate food choices with a patient who has iron-de-
ficiency anemia and follows a low-cholesterol diet, the nurse will encourage
the patient to increase the dietary intake of
a.
, eggs and muscle meats.
b.
nuts and cornmeal.
c.
milk and milk products.
d.