A 3-year-old child with mild iron deficiency anemia is seen by a nurse in the clinic. In addition to weakness and fatigue, what should the nurse expect the child to exhibit?
Increased pulse rate
Increased blood pressure
Warm Skin
Cyanosis of the nail beds
The Correct Answer is A
A. Increased pulse rate.
Iron deficiency anemia can lead to a reduced oxygen-carrying capacity in the blood. As a compensatory mechanism, the heart may pump faster to deliver more oxygen to tissues. This can result in an increased pulse rate. Children with iron deficiency anemia may also experience weakness, fatigue, and pallor.
B. Increased blood pressure is not a common symptom of iron deficiency anemia. In fact, iron deficiency anemia can often lead to lower blood pressure due to the reduced oxygen-carrying capacity of the blood.
C. Warm skin is not a typical symptom of iron deficiency anemia. Skin temperature may not be directly affected by this condition.
D. Cyanosis of the nail beds is not a symptom of iron deficiency anemia. Cyanosis refers to bluish discoloration of the skin or mucous membranes due to reduced oxygen levels in the blood, which is more commonly associated with respiratory or cardiovascular issues. Iron deficiency anemia primarily affects the oxygen-carrying capacity of the blood but does not lead to cyanosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Checking urine for glucose and protein is not directly related to the care of a child with a VP shunt. The focus is on monitoring the child for signs of complications related to the shunt.
B. Administering narcotics for pain control may be indicated if the child is in pain, but it is not the primary action and should be determined based on the child's pain assessment.
C. Testing cerebrospinal (CSF) fluid leakage for protein is not typically a nursing responsibility in the immediate postoperative period. Leakage of CSF should be reported to the healthcare provider, and diagnostic tests would be conducted by medical staff as needed.
D. Monitor for increased temperature.
Monitoring for an increased temperature is essential because postoperative fever could be an early sign of infection or complications related to the VP shunt. Infection and shunt malfunction are potential risks in the postoperative period.
Correct Answer is C
Explanation
A. Identity versus role confusion is typically associated with adolescence.
B. Autonomy versus a sense of shame and doubt is associated with the toddler years.
C. Initiative versus guilt.
Erikson's theory of psychosocial development includes various stages, and each stage corresponds to a specific age range and a unique psychosocial challenge. The preschool age group, typically from around 3 to 6 years old, is associated with the stage of "Initiative versus guilt." During this stage, children begin to explore their environment, take on new challenges, and start to develop a sense of initiative. They seek to make choices, set goals, and make plans, which is a crucial aspect of their development during the preschool years. However, if their efforts are met with excessive criticism or control, they may develop feelings of guilt.
D. Trust versus mistrust is associated with infancy.
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