Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia?
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Solution
Decreased mean corpuscular volume (MCV)
For the child with iron deficiency anemia, the blood study results most likely would reveal decreased mean corpuscular volume (MCV) which demonstrates microcytic anemia, decreased hemoglobin, decreased hematocrit and elevated total iron binding capacity.
An inborn error of metabolism that causes a premature destruction of RBC?
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Solution
G6PD
Glucose-6-phosphate dehydrogenase deficiency (G6PD) is an X-linked recessive hereditary disease characterised by abnormally low levels of glucose-6-phosphate dehydrogenase (abbreviated G6PD or G6PDH), a metabolic enzyme involved in the pentose phosphate pathway, especially important in red blood cell metabolism.
Which of the following situations increase the risk of lead poisoning in children?
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Solution
playing in the park with heavy traffic and with many vehicles passing by
Lead poisoning may be caused by inhalation of dust and smoke from leaded gas. It may also be caused by lead-based paint, soil, water (especially from plumbings of old houses).
The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?
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Solution
heart rate is 80 bpm
Normal heart rate of the newborn is 120 to 160 bpm.
Options A, B, and C are normal assessment findings (uneven head shape is molding).
A mother tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should the nurse advise the mother?
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Solution
do not give snacks to the child before meals
If the child is hungry he/she more likely would finish his meals. Therefore, the mother should be advised not to give snacks to the child. The child is a “busy toddler.” He/she will not able to keep still for a long time.
How does the nurse appropriately administer Mycostatin suspension in an infant?
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Solution
Swab Mycostatin on the affected areas
Mycostatin suspension is given as swab. Never mix medications with food and formula.
Which of the following is most likely associated with a cerebrovascular accident (CVA) resulting from congenital heart disease?
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Solution
Polycythemia
The child with congenital heart disease develops polycythemia resulting from an inadequate mechanism to compensate for decreased oxygen saturation
Which of the following organisms is responsible for the development of rheumatic fever?
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Solution
Group A β-hemolytic streptococcus
Rheumatic fever results from a delayed reaction to inadequately treated group A β-hemolytic streptococcal infection.
Which of the following is the best method for performing a physical examination on a toddler
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Solution
From least to most intrusive
When examining a toddler or any small child, the best way to perform the exam is from least to most intrusive.
Option A: Starting at the head or abdomen is intrusive and should be avoided.
Option B: Proceeding from distal to proximal is inappropriate at any age.
Which of the following would be inappropriate when administering chemotherapy to a child?
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Solution
Observing the child for 10 minutes to note for signs of anaphylaxis
When administering chemotherapy, the nurse should observe for an anaphylactic reaction for 20 minutes and stop the medication if one is suspected. Chemotherapy is associated with both general and specific adverse effects, therefore close monitoring for them is important.