Peds Hematologic/Immune

Which child should the nurse document as being anemic?

• 7-year-old child with a hemoglobin of 11.5 g/dl 
• 3-year-old child with a hemoglobin of 12 g/dl 
•   14-year-old child with a hemoglobin of 10 g/dl
• 1-year-old child with a hemoglobin of 13 g/dl 

The nurse is teaching parents about the importance of iron in a toddler’s diet. Which explains why iron deficiency anemia is common during toddlerhood?

• Milk is a poor source of iron. 
• Iron cannot be stored during fetal development. 
• Fetal iron stores are depleted by age 1 month.
• Dietary iron cannot be started until age 12 months.

The nurse is teaching parents of an infant about the causes of iron deficiency anemia. Which statement best describes iron deficiency anemia in infants?

•   It is caused by depression of the hematopoietic system.
•   It is easily diagnosed because of an infant’s emaciated appearance.
• Clinical manifestations are similar regardless of the cause of the anemia.
• Clinical manifestations result from a decreased intake of milk and the premature addition of solid foods.

Which should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations?

• They should be given with meals
• They should be stopped immediately if nausea and vomiting occur.
• Adequate dosage will turn the stools a tarry green color.
• Allow preparation to mix with saliva and bathe the teeth before swallowing.

Iron dextran is ordered for a young child with severe iron deficiency anemia. Nursing considerations include to

• administer with meals.
• administer between meals.
• inject deeply into a large muscle. 
• massage injection site for 5 minutes after administration of drug.

anemia in a healthy, term, breast-fed infant. Which should be suggested?

• Iron (ferrous sulfate) drops after age 1 month
• Iron-fortified commercial formula by age 4 to 6 months
•   Iron-fortified infant cereal by age 2 months
• Iron-fortified infant cereal by age 4 to 6 months 

Parents of a child with sickle cell anemia ask the nurse, “What happens to the hemoglobin in sickle cell anemia?” Which statement by the nurse explains the disease process?”

• Normal adult hemoglobin is replaced by abnormal hemoglobin. 
• There is a lack of cellular hemoglobin being produced.
• There is a deficiency in the production of globulin chains.
• The size and depth of the hemoglobin are affected.

When both parents have sickle cell trait, which is the chance their children will have sickle cell anemia?

• 25% 
• 50%
• 75%
• 100%

Which clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vasoocclusive crisis

• Circulatory collapse
• Circulatory collapse
•   Hepatomegaly, intrahepatic cholestasis
• Painful swelling of hands and feet; painful joints 

The nurse is conducting a staff in-service on sickle cell anemia. Which describes the pathologic changes of sickle cell anemia?

• Sickle-shaped cells carry excess oxygen.
• Sickle-shaped cells decrease blood viscosity.
• Increased red blood cell destruction occurs.
• Decreased adhesion of sickle-shaped cells occurs.