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WorksheetsCellular Alterations
Total questions: 11
Worksheet time: 9mins
A child has thrombocytopenia secondary to chemotherapy treatments. The nurse should not:
Monitor intake and output.
Use palpation as a component of assessment
Administer intramuscular injections (IM).
Perform oral hygiene
All of the following are main causes of anemia except :
Lymphocytosis
High rates of red blood cell destruction
Blood loss
Inadequate iron production
A child receives a blood lead level test with a result of 23 DL What symptoms would the nurse would expect to see?
Rash to the face and truck abdominal pain and vomiting
Anemia ataxia and weight gain
Difficulty concentrating fatigue and anemia
Encephalopathy lead line in mouth and paresis
A 15-year-old male patient presents to the emergency department with pallor, shortness of breath, and chest pain. The nurse completes her assessment and finds that the patient has a history of a cardiovascular event (CVA), and is currently experiencing swollen painful joints. What is the priority for the nurse to assess
The patient is probably neutropenic
The patient has hemophilia A
The patient needs blood work immediately
The patient has sickle cell disease
The nurse knows in caring for a newborn infant whose mother has the diagnosis of Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (AIDS), the virus can be transmitted to tall of the following routes except :
Saliva
Iron
Breast milk
Blood
A child has recently been diagnosed with leukemia. The child’s sibling is expressing feelings of anger and guilt. This reaction by the sibling is:
Normal; the sibling is affected, too, and anger and guilt are expected feelings.
Unexpected; the cancer is easily treated.
Unusual; the illness doesn’t affect the sibling.
Abnormal; the sibling should be referred to a psychologist.
The nurse is evaluating the activity tolerance of a 9-month-old with iron-deficiency anemia. Which of the following findings indicates that the child is tolerating activity?
Decreased alertness
Muscle weakness
Tachycardia
Respiratory rate less than 50 with activity
An eight-year-old male child was admitted in sickle cell crisis. The nurse knows that the nursing priority interventions for the child should include which of the following?
Adequate hydration and pain management
Pain management and administration of heparin
Adequate oxygenation and replacement of factory VIII
Corrections of acidosis
A 6 week old infant is brought into the pediatricians office with a history of frequent vomiting after feedings and failure to gain weight. The diagnosis of gastroesophageal reflux is made and discharge instructions have begun. While planning discharge teaching on feeding techniques with the parents which of the following instructions should the nurse include?
Position the infant at a 30 to 45 degree angle after feedings
Change from a soy based formula to a milk based formula
Delay burping to prevent vomiting
Dilute the formula so it is easier to swallow
The nurse is assessing an 11-year old girl diagnosed with acute myelogenousleukemia (AML) who came to the emergency department .Which of the following would alert the nurse to the need for immediate intervention?
Observation discloses weight loss and muscle wasting
Child complains of headache and vision problems
CBC indicates hyperleukocytosis
Palpation reveals lymphadenopathy in the axillae
The parent of a child with AIDS tells the nurse they are confused about whether or not their child can be immunized. The nurse would be most correct in advising these parents that there child with AIDS:
Should received immunization against all childhood with the only change being the administration of the IPV instead of OPV
May receive an individual immunization following an exposure to a communicable disease
Cannot receive any immunizations
Will receive gamma globulin in place of routine immunizations in addition to the pneumococcal and m influenza vaccines
