The Child with a Condition of the Blood, Blood-forming Organs, or Lymphatic System
56 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which food is a rich source of iron that should be emphasized for a child with iron deficiency anemia?

  • Carrot
  • Banana
  • Cream of Wheat (correct)
  • Boiled egg yolk
  • What could indicate a cause for a 9-month-old’s iron deficiency anemia according to a mother's statement?

  • She only feeds her bananas.
  • She avoids water completely.
  • She gives her bread to chew on occasionally.
  • She switched to regular milk instead of formula. (correct)
  • When administering ferrous sulfate drops to a child, which beverage should the nurse provide to enhance absorption?

  • Orange juice (correct)
  • Lemonade
  • Milk
  • Water
  • What condition is indicated by a deficiency of factor IX?

    <p>Christmas disease (D)</p> Signup and view all the answers

    What should the nurse instruct regarding home care for a child diagnosed with hemophilia A when bleeding occurs?

    <p>Apply pressure, ice, elevate, and rest the extremity. (D)</p> Signup and view all the answers

    What should parents of a child with a low platelet count avoid?

    <p>Aspirin (C)</p> Signup and view all the answers

    Which of the following statements about the nutritional needs of infants is accurate?

    <p>Infants should have iron-rich formula for the first year. (A)</p> Signup and view all the answers

    What is the primary reason to avoid milk when administering iron supplements?

    <p>Calcium in milk can hinder iron absorption. (D)</p> Signup and view all the answers

    Which of the following measures should be prioritized for a child receiving chemotherapy for leukemia?

    <p>Keeping hydrated (B), Stimulating appetite (D)</p> Signup and view all the answers

    What combination of medications is used in the COPP regimen for treating Hodgkin's disease?

    <p>Cyclophosphamide, Vincristine, Prednisone, and Procarbazine hydrochloride (D)</p> Signup and view all the answers

    Which of the following is a likely impact of chronic illness on a school-aged child's development?

    <p>Impaired sense of belonging (B)</p> Signup and view all the answers

    Which aspect of care is essential to ensure therapeutic effects in children undergoing chemotherapy?

    <p>Adequate hydration (D)</p> Signup and view all the answers

    A child undergoing chemotherapy is at risk for infection because:

    <p>It suppresses bone marrow activity. (D)</p> Signup and view all the answers

    Which of the following is NOT a focus area for the family of a child with leukemia undergoing chemotherapy?

    <p>Continuing with scheduled immunizations (C)</p> Signup and view all the answers

    In what way might chronic illness affect a school-aged child's feelings?

    <p>They may feel decreased feelings of independence. (A)</p> Signup and view all the answers

    During chemotherapy, why is it crucial for children to have access to support groups?

    <p>To receive emotional support and realistic care tips (A)</p> Signup and view all the answers

    What is a common sign of a transfusion reaction in a child?

    <p>Fever (B), Itching (D)</p> Signup and view all the answers

    When assessing a child with low platelet count, what is the priority nursing intervention?

    <p>Assessing neurological status (C)</p> Signup and view all the answers

    Which stage of Hodgkin’s disease is indicated when lymph nodes on both sides of the diaphragm are involved?

    <p>Stage III (B)</p> Signup and view all the answers

    What type of crisis is a child with sickle cell disease likely experiencing if they have severe abdominal pain?

    <p>Vaso-occlusive crisis (B)</p> Signup and view all the answers

    Which statement reflects proper understanding of caring for a child with sickle cell disease?

    <p>My child needs to stay hydrated. (C)</p> Signup and view all the answers

    What is the risk of children inheriting sickle cell disease when both parents are carriers?

    <p>Each child has a one in four chance of the disease. (C)</p> Signup and view all the answers

    What complication can arise from frequent blood transfusions in a child with thalassemia major?

    <p>Hemosiderosis (B)</p> Signup and view all the answers

    What does the overproduction of immature white blood cells in acute lymphoblastic leukemia lead to?

    <p>Increased susceptibility to infection (D)</p> Signup and view all the answers

    What is the best initial action for a nurse if a child receiving a transfusion reports back pain and itching?

    <p>Clamp off blood and keep line open with normal saline. (A)</p> Signup and view all the answers

    What mouth care should a nurse emphasize for a child undergoing chemotherapy?

    <p>Cleaning teeth with a soft toothbrush. (D)</p> Signup and view all the answers

    In response to a child's question about who will take care of them in heaven, what is the best approach for a nurse?

    <p>Tell them whom they think will take care of them. (C)</p> Signup and view all the answers

    What understanding of death does a preschool child typically possess?

    <p>It is a temporary state. (A)</p> Signup and view all the answers

    What condition might a 4-year-old child with bleeding gums and easy bruising be exhibiting?

    <p>Leukemia (D)</p> Signup and view all the answers

    What is a critical nursing diagnosis for a child with neutropenia?

    <p>Risk for infection (C)</p> Signup and view all the answers

    What symptom may indicate peripheral neuropathy in a child receiving chemotherapy?

    <p>Severe constipation (B)</p> Signup and view all the answers

    Which factor about hemophilia A is accurate?

    <p>It can be transmitted by symptom-free females. (C)</p> Signup and view all the answers

    What can occur if iron deficiency anemia goes untreated?

    <p>Heart failure (B)</p> Signup and view all the answers

    What skin assessment finding would suggest bleeding in a child with low platelet count?

    <p>Hematoma (A)</p> Signup and view all the answers

    Which statement best describes the care approach for a dying child?

    <p>Recognize that hearing is one of the senses that remains until the end. (B)</p> Signup and view all the answers

    Why should an adolescent expressing fear be encouraged to talk about their feelings?

    <p>To facilitate expression and understanding of their concerns. (B)</p> Signup and view all the answers

    What are some classic symptoms of thalassemia major?

    <p>Hepatomegaly (D)</p> Signup and view all the answers

    Which is NOT a common skin assessment finding in a child with a low platelet count?

    <p>Lymphadenopathy (B)</p> Signup and view all the answers

    What is the benefit of synthetic recombinant antihemophilic factor?

    <p>Allows administration by family members at home. (B)</p> Signup and view all the answers

    What approach should the nurse take to support a family engaged in the care of a dying child?

    <p>Facilitate opportunities for siblings to express their feelings through care. (B)</p> Signup and view all the answers

    What might you see in a patient with myelosuppression during chemotherapy?

    <p>Neutropenia (D)</p> Signup and view all the answers

    What is a potential effect of inadequate oral intake in a dying child?

    <p>Worsened physical weakness (A)</p> Signup and view all the answers

    Why is it important to stimulate appetite in a child undergoing radiation therapy?

    <p>To help maintain energy levels (B)</p> Signup and view all the answers

    Which stages of dying are included in the framework proposed by Kubler-Ross?

    <p>Bargaining, Acceptance, Anger, Depression (C)</p> Signup and view all the answers

    What traditional care approaches should be applied for a child with hemophilia experiencing hemarthrosis?

    <p>Rest, Elevation, Compression, Ice (D)</p> Signup and view all the answers

    What are common symptoms of sickle cell anemia that typically begin around one year of life?

    <p>Pale complexion, Chronic anemic episodes, Functional growth delays (D)</p> Signup and view all the answers

    Which of the following statements accurately describes the characteristics of children with sickle cell anemia?

    <p>Patients display symptoms of clinical anemia, such as fatigue and pallor (B)</p> Signup and view all the answers

    What is NOT a recommended intervention in treating a child with hemophilia who has sustained an injury?

    <p>Engaging in physical exercise for recovery (A)</p> Signup and view all the answers

    What is the most common form of childhood cancer?

    <p>Leukemia (A)</p> Signup and view all the answers

    What is a likely cause of pneumonia in a child with leukemia?

    <p>Neutropenia (B)</p> Signup and view all the answers

    What skin and urine change may occur after a lymphangiogram?

    <p>Skin and urine may take on a bluish color (A)</p> Signup and view all the answers

    What is the classic symptom of idiopathic thrombocytopenic purpura (ITP)?

    <p>Bruising (A)</p> Signup and view all the answers

    During which ages is the incidence of iron-deficiency anemia highest?

    <p>9 to 24 months (B)</p> Signup and view all the answers

    What symptom indicates that a child may have a low platelet count?

    <p>Frequent bruising (C)</p> Signup and view all the answers

    What is a potential complication from frequent blood transfusions in children with thalassemia major?

    <p>Iron overload (B)</p> Signup and view all the answers

    What is a common symptom of cancer in children?

    <p>Swollen lymph nodes (B)</p> Signup and view all the answers

    Flashcards

    Iron rich food for infants

    Cream of Wheat, boiled egg yolk, liver, green leafy vegetables, dried fruits, beans, nuts, and whole-grain breads are good sources of iron.

    Cause of iron deficiency anemia (infant)

    Switching to regular cow's milk too early, as it has little iron, can lead to iron deficiency anemia in infants.

    Iron absorption aid for ferrous sulfate

    Administering ferrous sulfate with orange juice helps absorption, as food and milk hinder absorption.

    Hemophilia B cause

    A deficiency of factor IX causes hemophilia B, also known as Christmas disease.

    Signup and view all the flashcards

    Hemophilia A home care

    For bleeding, apply pressure, ice, elevate, and rest the affected area (RICE principle).

    Signup and view all the flashcards

    Low platelet count avoidance

    Avoid aspirin, as it interferes with platelet function, potentially causing prolonged bleeding.

    Signup and view all the flashcards

    Risk of Excessive Milk Drinking

    Drinking cow's milk before the first year of a child's life can cause iron deficiency.

    Signup and view all the flashcards

    Hemophilia treatment

    Medical treatment is needed for hemophilia.

    Signup and view all the flashcards

    Chemotherapy for leukemia

    Treatment for leukemia using drugs that target rapidly dividing cells, reducing the risk of infections

    Signup and view all the flashcards

    Support groups for children with leukemia

    Provide emotional support and practical advice for parents and children managing the treatment and side effects.

    Signup and view all the flashcards

    Maintaining hydration in chemotherapy

    Crucial for the effectiveness of chemotherapy drugs.

    Signup and view all the flashcards

    COPP regimen for Hodgkin's disease

    A combination of drugs (cyclophosphamide, vincristine, prednisone, procarbazine) used to treat Hodgkin's lymphoma.

    Signup and view all the flashcards

    Chronic illness effects on growth & development

    Chronic illness can impact social-emotional development, causing a decreased sense of independence, belonging & affecting feelings of self-worth.

    Signup and view all the flashcards

    Importance of scheduled immunizations

    Crucial for healthy immune response, but often compromised during chemotherapy

    Signup and view all the flashcards

    Reporting infectious exposures

    Essential for preventing the spread of infections and better managing the patient.

    Signup and view all the flashcards

    Impact of chronic illness on school-aged children

    Chronic illness can affect a child's sense of belonging, and independence within their peer group, which affects their developmental progress.

    Signup and view all the flashcards

    Child transfusion reaction

    Signs include chills, itching, fever, rash, headache, and back pain.

    Signup and view all the flashcards

    Low platelets in leukemia

    Priority is assessing neuro status due to risk of intracranial bleeding.

    Signup and view all the flashcards

    Hodgkin's disease stage III

    Lymph nodes on both sides of the diaphragm involved (e.g., cervical, inguinal).

    Signup and view all the flashcards

    Sickle cell crisis type

    Vaso-occlusive crisis; caused by obstructed blood flow.

    Signup and view all the flashcards

    Sickle cell health maintenance

    Prioritize fluids to prevent dehydration, which triggers sickling.

    Signup and view all the flashcards

    Sickle cell inheritance risk

    Each child has a 1 in 4 chance of having sickle cell disease.

    Signup and view all the flashcards

    Thalassemia complication

    Repeated transfusions lead to iron overload (Hemosiderosis).

    Signup and view all the flashcards

    Acute lymphoblastic leukemia cause

    Overproduction of immature white blood cells in bone marrow.

    Signup and view all the flashcards

    Blood transfusion reaction action

    Stop the transfusion and keep the line open with saline, then notify the charge nurse.

    Signup and view all the flashcards

    Mouth care for chemo patients

    Use soft toothbrushes to reduce damage and prevent infection.

    Signup and view all the flashcards

    Child's concept of death (preschool)

    Preschoolers see death as reversible, a temporary separation.

    Signup and view all the flashcards

    Bleeding gums and petechiae

    Signs of a low platelet count, risk of internal bleeding.

    Signup and view all the flashcards

    Low platelet count (thrombocytopenia)

    A condition where the number of platelets in the blood is abnormally low, increasing the risk of bleeding.

    Signup and view all the flashcards

    Symptoms of low platelet count

    Petechiae, purpura, ecchymosis, and hematomas are common skin manifestations.

    Signup and view all the flashcards

    Iron deficiency anemia

    A condition caused by low iron levels, potentially leading to heart failure if untreated.

    Signup and view all the flashcards

    Hemophilia A

    A sex-linked recessive genetic disorder primarily affecting males, impacting blood clotting.

    Signup and view all the flashcards

    Neutropenia

    A condition where the number of neutrophils (a type of white blood cell) is abnormally low, increasing the risk of infection.

    Signup and view all the flashcards

    Priority nursing diagnosis for neutropenia

    Risk for infection is a top concern for a child with neutropenia due to their weakened immune system.

    Signup and view all the flashcards

    Thalassemia major

    A genetic blood disorder causing anemia, characterized by symptoms like hepatomegaly and jaundice.

    Signup and view all the flashcards

    Hodgkin's disease

    A type of cancer affecting the lymphatic system.

    Signup and view all the flashcards

    Chemotherapy and abdomen

    Chemotherapy can cause constipation. A firm or distended abdomen suggests this, along with a lack of bowel movements.

    Signup and view all the flashcards

    Nursing care for dying child

    Prioritize family involvement and support, preserving the final moments with care and dignity. Hearing is not usually the last sense to go.

    Signup and view all the flashcards

    Antihemophilic factor (recombinant)

    A synthetic blood clotting factor that helps manage hemophilia, reducing the need for transfusions and risks of blood-borne diseases.

    Signup and view all the flashcards

    Radiation therapy care

    Include measures for appetite stimulation, energy conservation, and allowing expressions of feelings in children undergoing radiation.

    Signup and view all the flashcards

    Nursing response to fear of adolescent

    Validate the adolescent's feelings and encourage expression, allowing them to share their concerns.

    Signup and view all the flashcards

    Stages of Dying

    The stages of dying as described by Kubler-Ross are: Denial, Anger, Bargaining, Depression, Acceptance.

    Signup and view all the flashcards

    Sickle Cell Anemia Symptoms

    Sickle cell anemia typically manifests around the first year of life with symptoms like chronic anemia, paleness, and easy fatigue.

    Signup and view all the flashcards

    Sickle Cell Anemia Complications

    Sickle cell anemia can lead to potentially fatal crises due to blood clots in blood vessels.

    Signup and view all the flashcards

    Sickle Cell Anemia Cause

    Sickle cell anemia is a genetic disorder usually inherited from both parents.

    Signup and view all the flashcards

    Most common childhood cancer?

    Leukemia is the most frequent type of cancer diagnosed in children. It's characterized by an overproduction of abnormal white blood cells.

    Signup and view all the flashcards

    What causes pneumonia in a child with leukemia?

    Neutropenia, a low count of neutrophils (white blood cells that fight infection), makes children with leukemia highly susceptible to infections like pneumonia.

    Signup and view all the flashcards

    What is a lymphangiogram?

    A lymphangiogram is a diagnostic procedure that utilizes a dye to visualize the lymph nodes and vessels. It helps determine the extent of a lymphatic system disorder.

    Signup and view all the flashcards

    Classic symptom of ITP?

    Easy bruising, resulting in petechiae (small red spots) and purpura (larger purple patches), is the hallmark symptom of Idiopathic Thrombocytopenic Purpura (ITP).

    Signup and view all the flashcards

    When is iron deficiency anemia most common?

    Iron deficiency anemia is most prevalent between 9 and 24 months of age. Rapid growth during this period depletes iron stores, especially if iron-rich foods are limited.

    Signup and view all the flashcards

    Kubler-Ross stages of dying?

    Dr. Kubler-Ross identified five stages of grief and dying: denial, anger, bargaining, depression, and acceptance. These stages are not always linear and individuals may experience them in different orders.

    Signup and view all the flashcards

    What is hemosiderosis?

    Hemosiderosis is a condition of iron overload, often occurring as a complication of repeated blood transfusions in patients with thalassemia.

    Signup and view all the flashcards

    How can you prevent dehydration in sickle cell disease?

    Maintaining adequate hydration is crucial in preventing dehydration, which can trigger painful vaso-occlusive crises in individuals with sickle cell disease.

    Signup and view all the flashcards

    Study Notes

    Iron Deficiency Anemia

    • Rich Iron Sources: Boiled egg yolk, liver, leafy greens, Cream of Wheat, dried fruit, beans, nuts, and whole-grain breads are rich in iron.
    • Cow's Milk Concerns: Infants should primarily drink iron-fortified formula for the first year of life, as cow's milk contains minimal iron.
    • Iron Absorption Enhancement: Orange juice aids in iron absorption, whereas milk and food hinder it.

    Hemophilia

    • Factor IX Deficiency: A deficiency of factor IX leads to Christmas disease, also known as hemophilia B.
    • Home Care for Hemophilia A: When bleeding occurs, apply RICE (rest, ice, compression, elevation) to the affected extremity. Aspirin should be avoided.

    Low Platelet Count

    • Avoid Aspirin: Aspirin should be avoided to prevent prolonged bleeding in patients with a low platelet count due to its interference with platelet function.

    Blood Transfusions

    • Transfusion Reactions: Fever, chills, itching, rash, headache, and back pain are potential transfusion reaction symptoms warranting close monitoring.

    Leukemia

    • Leukemia's Effect: Anemia, low platelet counts, and infection risk are all associated with acute lymphoblastic leukemia.
    • Priority Intervention: Assess neurological status in a child with leukemia and widespread purpura & low platelet count.

    Hodgkin's Disease

    • Stage III Hodgkin's: Involvement of lymph nodes on both sides of the diaphragm, including cervical and inguinal nodes, indicates stage III of Hodgkin's disease.

    Sickle Cell Disease

    • Sickle Cell Crisis: Severe abdominal pain during a sickle cell crisis is a symptom of a vaso-occlusive crisis caused by the obstruction of blood flow, infarctions, and some degrees of vasospasm.
    • Hydration: Maintaining adequate hydration is crucial in managing sickle cell disease to prevent the sickling process.

    Genetic Counseling (Sickle Cell)

    • Sickle Cell Inheritance: Each child of carrier parents has a one in four chance of inheriting sickle cell disease, and a two in four chance of being a carrier.

    Thalassemia

    • Hemoglobin Disorders: Repeated blood transfusions in thalassemia major lead to hemosiderosis, which is iron buildup.

    Chemotherapy

    • Mouth Care: A soft toothbrush for oral care reduces capillary damage, bleeding and infection risk during chemotherapy. Use of mouthwash is discouraged.
    • Constipation: A firm, distended abdomen and lack of bowel movements can suggest peripheral neuropathy in a child with chemotherapy.
    • Hydration: Adequate hydration is important to support chemotherapy effectiveness.

    Pediatric Considerations

    • Preschooler's Understanding of Death: Preschoolers view death as temporary and reversible.
    • Communication with Children: Open-ended questions are more therapeutic than closed-ended ones when dealing with a child experiencing a life-threatening illness. Open-ended questions help children verbalize their concerns.

    Chronic Illness and Development

    • Chronic Illness Effects: Chronic illness can lead to delayed bonding with parents, impaired sense of belonging, decreased independence, and impacting development in school-age children.

    Additional Notes

    • Neutropenia and Infection Risk: The priority nursing diagnosis for a child with neutropenia is risk for infection.
    • Hearing Preservation: Hearing remains in a dying child even with loss of consciousness. Involving the family should include siblings and encourage their participation.
    • Hemophilia Transmission: Hemophilia A is a sex-linked recessive trait passed from symptom-free females to males.
    • Iron Deficiency Anemia Complications: Untreated iron deficiency anemia can lead to heart failure.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    This quiz explores essential information on iron deficiency anemia, hemophilia, and low platelet count management. It covers dietary sources of iron, treatment methods for hemophilia, and precautions regarding blood transfusions. Test your understanding of these critical health topics.

    More Like This

    Iron Deficiency Anemia Quiz
    15 questions
    Iron Deficiency Anemia Treatment Quiz
    6 questions
    Use Quizgecko on...
    Browser
    Browser