Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition.  What food would the nurse emphasize as being a rich source of iron?

a.	An egg white
b.	Cream of Wheat
c.	A banana
d.	A carrot

 

 

ANS:  B

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

 

DIF:    Cognitive Level: Comprehension     REF:   Page 622        OBJ:   6

TOP:   Iron Deficiency Anemia                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

2. Which statement by a mother may indicate a cause for her 9-month-old’s iron deficiency anemia?

a.	“Formula is so expensive. We switched to regular milk right away.”
b.	“She almost never drinks water.”
c.	“She doesn’t really like peaches or pears, so we stick to bananas for fruit.”
d.	“I give her a piece of bread now and then. She likes to chew on it.”

 

 

ANS:  A

Because cow’s milk contains very little iron, infants should drink iron-fortified formula for the first year of life.

 

DIF:    Cognitive Level: Application           REF:   Page 622        OBJ:   4

TOP:   Iron Deficiency Anemia                  KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

3. What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric unit?

a.	With milk
b.	With orange juice
c.	With water
d.	On a full stomach

 

 

ANS:  B

Vitamin C aids in the absorption of iron, whereas food and milk interfere with the absorption of iron.

 

DIF:    Cognitive Level: Application           REF:   Page 622        OBJ:   4

TOP:   Iron Deficiency Anemia                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

4. What is the result of a deficiency of factor IX?

a.	Thalassemia
b.	Idiopathic thrombocytopenic purpura
c.	Hemophilia A
d.	Christmas disease

 

 

ANS:  D

Christmas disease, or hemophilia B, is caused by the deficiency of factor IX.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 628        OBJ:   11

TOP:   Christmas Disease                           KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. A 2-year-old child has been diagnosed with hemophilia A. What information should the nurse include in a teaching plan about home care?

a.	If bleeding occurs, apply pressure, ice, elevate, and rest the extremity.
b.	Children’s aspirin in lowered doses may be given for joint discomfort.
c.	A firm, dry toothbrush should be used to clean teeth at least twice a day.
d.	Do not permit interactive play with other children.

 

 

ANS:  A

When bleeding occurs, the traditional approach is to follow RICE—rest, ice, compression, and elevation.

 

DIF:    Cognitive Level: Application           REF:   Page 628        OBJ:   12

TOP:   Hemophilia    KEY:  Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort