Chapter 31: Care of the Child with a Physical Disorder

Chapter 31: Care of the Child with a Physical Disorder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse uses a diagram to show that tetralogy of Fallot involves a combination of which four congenital defects?

ANS:   B

Tetralogy of Fallot involves a combination of four congenital defects: pulmonary stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy.

DIF:    Cognitive Level: Application             REF:    Page 990         OBJ:    1

TOP:    Heart defect    KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

2. When caring for a child with coarctation of the aorta, the nurse assesses for the most common clinical manifestation, which is:

ANS:   B

Coarctation of the aorta results in hypertension in the upper extremities.

DIF:    Cognitive Level: Analysis                  REF:    Page 991         OBJ:    1

TOP:    Heart defect    KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

3. Parents of a 6-month-old child who has just been diagnosed with iron deficiency anemia ask why it was not diagnosed earlier. The nurse’s best response is:

ANS:   B

Iron deficiency anemia becomes apparent at about 6 months of age in a full-term infant, when maternal stores of iron are depleted.

DIF:    Cognitive Level: Application             REF:    Page 992         OBJ:    2

TOP:    Anemia           KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

4. Therapeutic management of iron deficiency anemia includes administration of what?

ANS:   C

Therapeutic management of iron deficiency anemia is iron supplementation.

DIF:    Cognitive Level: Knowledge             REF:    Pages 992-993

OBJ:    2                      TOP:    Anemia           KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

5. The parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences pain. The nurse explains that the child’s pain is caused by:

ANS:   B

The signs and symptoms of sickle cell anemia include the sickle-shaped cells clumping and obstructing blood flow, which causes pain.

DIF:    Cognitive Level: Application             REF:    Page 993         OBJ:    2

TOP:    Blood disorders                                  KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity