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Chapter19: Hematologic, Immunologic, and Neoplastic Disorders

Pediatric Nursing The Critical Components of Nursing Care 1st Edition by Kathryn Rudd

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Chapter19: Hematologic, Immunologic, and Neoplastic Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

  1. Which of the following is a condition in which the normal hemoglobin is partially or completely replaced by abnormal hemoglobin?
  2. Iron deficiency anemia
  3. Sickle Cell anemia
  4. Leukemia
  5. Aplastic anemia

 

ANS: 2

  Feedback
1. Iron deficiency anemia occurs because there is not enough iron to support the production of hemoglobin.
2. Sickle Cell anemia has abnormal hemoglobin S. The deformed cell changes from a round shape to a sickle shape.
3. Leukemia a disease process that causes the destruction of hemoglobin.
4. Aplastic anemia occurs because the bone marrow is not producing enough red blood cells, making the patient anemic.

KEY: Content Area: Hematology | Integrated Processes: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Knowledge | REF: CHAPTER 19 | Type: Multiple Choice

 

 

 

  1. Classic hemophilia (hemophilia A) involves a deficiency in:
  2. Factor V.
  3. Factor VIII.
  4. Factor IX.
  5. Factor XIII.

 

ANS: 2

  Feedback
1. Factor V is not noted in hemophilia A.
2. Administration of Factor VIII, derived from pooled plasma, will increase the clotting ability of the body.
3. Factor IX is not an issue with hemophilia A.
4. Factor XIII is not a factor in hemophilia A.

KEY: Content Area: Hematology | Integrated Processes: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Knowledge | REF: CHAPTER 19 | Type: Multiple Choice

 

 

 

  1. Acquired thrombocytopenia involves antibodies against:
  2. Platelets.
  3. Basophils.
  4. Neutrophils.
  5. Eosinophils.

 

ANS: 1

  Feedback
1. Decreased platelet production, increased platelet destruction, or splenic sequestration is common with thrombocytopenia.
2. The basophils are intact with thrombocytopenia.
3. The neutrophils function with thrombocytopenia.
4. The eosinophils are intact with thrombocytopenia.

KEY: Content Area: Hematology | Integrated Processes: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Comprehension | REF: CHAPTER 19 | Type: Multiple Choice

 

 

 

  1. A definitive diagnosis for leukemia is based on results of:
  2. Fatigue and pallor.
  3. A urinalysis.
  4. A bone marrow aspirate.
  5. A history and a physical.

 

ANS: 3

  Feedback
1. Fatigue and pallor are presumptive signs of leukemia.
2. A urinalysis does not give indications as to a diagnosis for leukemia.
3. The abnormal cells of leukemia are found in the bone marrow.
4. A history and a physical will help identify signs and symptoms, but not give a definitive diagnosis.

KEY: Content Area: Hematology | Integrated Processes: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Synthesis | REF: CHAPTER 19 | Type: Multiple Choice

 

 

 

  1. When caring for a child with Wilm’s tumor, which of the following nursing interventions would be most important?
  2. Place child on neutropenic precautions.
  3. Monitor bowel sounds in order to detect ileus.
  4. Position in the high fowler’s position in order to increase lung capacity.
  5. Avoid palpation of the abdomen.

 

ANS: 4

  Feedback
1. The child will need neutropenic precautions if radiation or chemotherapy are provided.
2. A Wilm’s tumor should not cause an ileus.
3. The lungs are not affected in a child with a Wilm’s tumor, so it is not the most important intervention at this time.
4. The tumor is located in the abdomen and may be harmful to the child with palpation of the abdomen.

KEY: Content Area: Hematology Management | Integrated Processes: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Application | REF: CHAPTER 19 | Type: Multiple Choice

 

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