NURS MISC Peds Quiz #3 Hematologic and Immunologic Disorders study guide

NURS MISC Peds Quiz #3 Hematologic and Immunologic Disorders Peds Quiz #3 Hematologic and Immunologic Disorders Question 1 The nurse is assigned to a child who has a platelet count of 15,000 per cubic millimeter. The nurse realizes that which of the following is true? A. A blood thinner such as Coumadin needs to be considered by the caregiver B. This is a normal platelet count and no precautions need to be taken C. There is a serious danger of infection even from normal skin bacteria D. The child has a high risk of spontaneous bleeding which can be life threatening Question 2 The parent of a child receiving an iron preparation tells the nurse that the child’s stools are a tarry green-black color. The nurse should explain that is this a/an: A. Normally expected change caused by the iron preparation B. Adverse effect of iron preparation C. Indicator of an iron preparation overdose D. Symptoms of iron-deficiency anemia Question 3 Nursing care of the child with immune-suppression from leukemia or chemotherapeutic agents should include which of the following? A. Give immunizations appropriate for age B. Institute low protein, low-calorie diet C. Restrict oral fluids D. Institute strict hand washing Question 4 The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction. The nurse should explain that narcotic analgesics: A. Are often ordered but not usually needed B. Are used only if non-pharmacological treatment is non-effective C. are medically indicated and rarely cause addiction in children. D. Are given as a last resort because of the threat of addiction Question 5 The school is caring for a boy with hemophilia who fell on his arm during recess. Which of the following supportive measures should the nurse do until factor replacement therapy can be instituted? A. Apply a warm, moist compress B. Apply pressure for at least 1 minute C. Elevate area above level of heart D. Begin passive range of motion unless pain is severe Question 6 The nurse is caring for a child with stomatitis after receiving chemotherapy. Which of the following food items would be appropriate for the nurse to provide the child? A. Orange juice B. Dried apple chips C. Milkshake D. Whole-grain crackers Question 7 A 10-year-old child in the emergency department has a complete blood count (CBC) results that include hemoglobin (Hgb) of 8 grams/dL and hematocrit (Hct) of 24%. The nurse determines that, based on laboratory results, which nursing action has the highest priority? A. Reducing energy expenditure B. Assessing and promoting skin integrity C. Promoting hydration D. Promoting nutrition Question 8 Which of the following clinical manifestations should the nurse expect when a child with sickle cell anemia experiences an acute vasooclusive crisis? (VOC) A. Circulatory collapse B. Painful swelling of hands and feet C. Hepatomegaly, intrahepatic cholestasis D. Cardiomegaly, systolic murmurs Question 9 The school nurse is informed that a child with HIV will be attending school soon. Which of the following is an important nursing intervention? A. Reassure the other children that they will not become infected B. Carefully follow universal precautions C. Determine how the child became infected D. Inform the parents of the other children Question 10 Which immunization should not be given to a child receiving chemotherapy for cancer? A. Measles, Mumps, Rubella (MMR) B. Inactivated poliovirus vaccine C. Tetanus vaccine D. Diphtheria, tetanus, acellular pertussis, (DTaP)