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Questions and Answers
Which food is a rich source of iron that should be emphasized for a child with iron deficiency anemia?
Which food is a rich source of iron that should be emphasized for a child with iron deficiency anemia?
What could indicate a cause for a 9-month-old’s iron deficiency anemia according to a mother's statement?
What could indicate a cause for a 9-month-old’s iron deficiency anemia according to a mother's statement?
When administering ferrous sulfate drops to a child, which beverage should the nurse provide to enhance absorption?
When administering ferrous sulfate drops to a child, which beverage should the nurse provide to enhance absorption?
What condition is indicated by a deficiency of factor IX?
What condition is indicated by a deficiency of factor IX?
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What should the nurse instruct regarding home care for a child diagnosed with hemophilia A when bleeding occurs?
What should the nurse instruct regarding home care for a child diagnosed with hemophilia A when bleeding occurs?
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What should parents of a child with a low platelet count avoid?
What should parents of a child with a low platelet count avoid?
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Which of the following statements about the nutritional needs of infants is accurate?
Which of the following statements about the nutritional needs of infants is accurate?
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What is the primary reason to avoid milk when administering iron supplements?
What is the primary reason to avoid milk when administering iron supplements?
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Which of the following measures should be prioritized for a child receiving chemotherapy for leukemia?
Which of the following measures should be prioritized for a child receiving chemotherapy for leukemia?
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What combination of medications is used in the COPP regimen for treating Hodgkin's disease?
What combination of medications is used in the COPP regimen for treating Hodgkin's disease?
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Which of the following is a likely impact of chronic illness on a school-aged child's development?
Which of the following is a likely impact of chronic illness on a school-aged child's development?
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Which aspect of care is essential to ensure therapeutic effects in children undergoing chemotherapy?
Which aspect of care is essential to ensure therapeutic effects in children undergoing chemotherapy?
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A child undergoing chemotherapy is at risk for infection because:
A child undergoing chemotherapy is at risk for infection because:
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Which of the following is NOT a focus area for the family of a child with leukemia undergoing chemotherapy?
Which of the following is NOT a focus area for the family of a child with leukemia undergoing chemotherapy?
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In what way might chronic illness affect a school-aged child's feelings?
In what way might chronic illness affect a school-aged child's feelings?
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During chemotherapy, why is it crucial for children to have access to support groups?
During chemotherapy, why is it crucial for children to have access to support groups?
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What is a common sign of a transfusion reaction in a child?
What is a common sign of a transfusion reaction in a child?
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When assessing a child with low platelet count, what is the priority nursing intervention?
When assessing a child with low platelet count, what is the priority nursing intervention?
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Which stage of Hodgkin’s disease is indicated when lymph nodes on both sides of the diaphragm are involved?
Which stage of Hodgkin’s disease is indicated when lymph nodes on both sides of the diaphragm are involved?
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What type of crisis is a child with sickle cell disease likely experiencing if they have severe abdominal pain?
What type of crisis is a child with sickle cell disease likely experiencing if they have severe abdominal pain?
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Which statement reflects proper understanding of caring for a child with sickle cell disease?
Which statement reflects proper understanding of caring for a child with sickle cell disease?
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What is the risk of children inheriting sickle cell disease when both parents are carriers?
What is the risk of children inheriting sickle cell disease when both parents are carriers?
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What complication can arise from frequent blood transfusions in a child with thalassemia major?
What complication can arise from frequent blood transfusions in a child with thalassemia major?
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What does the overproduction of immature white blood cells in acute lymphoblastic leukemia lead to?
What does the overproduction of immature white blood cells in acute lymphoblastic leukemia lead to?
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What is the best initial action for a nurse if a child receiving a transfusion reports back pain and itching?
What is the best initial action for a nurse if a child receiving a transfusion reports back pain and itching?
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What mouth care should a nurse emphasize for a child undergoing chemotherapy?
What mouth care should a nurse emphasize for a child undergoing chemotherapy?
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In response to a child's question about who will take care of them in heaven, what is the best approach for a nurse?
In response to a child's question about who will take care of them in heaven, what is the best approach for a nurse?
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What understanding of death does a preschool child typically possess?
What understanding of death does a preschool child typically possess?
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What condition might a 4-year-old child with bleeding gums and easy bruising be exhibiting?
What condition might a 4-year-old child with bleeding gums and easy bruising be exhibiting?
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What is a critical nursing diagnosis for a child with neutropenia?
What is a critical nursing diagnosis for a child with neutropenia?
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What symptom may indicate peripheral neuropathy in a child receiving chemotherapy?
What symptom may indicate peripheral neuropathy in a child receiving chemotherapy?
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Which factor about hemophilia A is accurate?
Which factor about hemophilia A is accurate?
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What can occur if iron deficiency anemia goes untreated?
What can occur if iron deficiency anemia goes untreated?
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What skin assessment finding would suggest bleeding in a child with low platelet count?
What skin assessment finding would suggest bleeding in a child with low platelet count?
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Which statement best describes the care approach for a dying child?
Which statement best describes the care approach for a dying child?
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Why should an adolescent expressing fear be encouraged to talk about their feelings?
Why should an adolescent expressing fear be encouraged to talk about their feelings?
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What are some classic symptoms of thalassemia major?
What are some classic symptoms of thalassemia major?
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Which is NOT a common skin assessment finding in a child with a low platelet count?
Which is NOT a common skin assessment finding in a child with a low platelet count?
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What is the benefit of synthetic recombinant antihemophilic factor?
What is the benefit of synthetic recombinant antihemophilic factor?
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What approach should the nurse take to support a family engaged in the care of a dying child?
What approach should the nurse take to support a family engaged in the care of a dying child?
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What might you see in a patient with myelosuppression during chemotherapy?
What might you see in a patient with myelosuppression during chemotherapy?
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What is a potential effect of inadequate oral intake in a dying child?
What is a potential effect of inadequate oral intake in a dying child?
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Why is it important to stimulate appetite in a child undergoing radiation therapy?
Why is it important to stimulate appetite in a child undergoing radiation therapy?
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Which stages of dying are included in the framework proposed by Kubler-Ross?
Which stages of dying are included in the framework proposed by Kubler-Ross?
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What traditional care approaches should be applied for a child with hemophilia experiencing hemarthrosis?
What traditional care approaches should be applied for a child with hemophilia experiencing hemarthrosis?
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What are common symptoms of sickle cell anemia that typically begin around one year of life?
What are common symptoms of sickle cell anemia that typically begin around one year of life?
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Which of the following statements accurately describes the characteristics of children with sickle cell anemia?
Which of the following statements accurately describes the characteristics of children with sickle cell anemia?
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What is NOT a recommended intervention in treating a child with hemophilia who has sustained an injury?
What is NOT a recommended intervention in treating a child with hemophilia who has sustained an injury?
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What is the most common form of childhood cancer?
What is the most common form of childhood cancer?
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What is a likely cause of pneumonia in a child with leukemia?
What is a likely cause of pneumonia in a child with leukemia?
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What skin and urine change may occur after a lymphangiogram?
What skin and urine change may occur after a lymphangiogram?
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What is the classic symptom of idiopathic thrombocytopenic purpura (ITP)?
What is the classic symptom of idiopathic thrombocytopenic purpura (ITP)?
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During which ages is the incidence of iron-deficiency anemia highest?
During which ages is the incidence of iron-deficiency anemia highest?
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What symptom indicates that a child may have a low platelet count?
What symptom indicates that a child may have a low platelet count?
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What is a potential complication from frequent blood transfusions in children with thalassemia major?
What is a potential complication from frequent blood transfusions in children with thalassemia major?
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What is a common symptom of cancer in children?
What is a common symptom of cancer in children?
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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.
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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.
