A nurse is assessing a child with iron deficiency anemia. Which of the following is NOT an expected finding?

Increased appetite

Pallor

Tachycardia

Brittle spoon-shaped nails

Answer and Explanation

The Correct Answer is A

A. Increased appetite is not an expected finding in a child with iron deficiency anemia. Children with iron deficiency anemia typically experience a reduced appetite or may develop pica (craving non-food substances) rather than an increased appetite.

B. Pallor is a common sign of iron deficiency anemia, as a lack of iron reduces the number of red blood cells and the amount of hemoglobin, leading to pale skin and mucous membranes.

C. Tachycardia is a compensatory response to anemia, as the heart works harder to deliver oxygen to tissues due to a reduced capacity of the blood to carry oxygen.

D. Brittle spoon-shaped nails (koilonychia) are a classic physical finding in iron deficiency anemia, caused by the reduced oxygen delivery to the nails and skin.

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Correct Answer is C

Explanation

A. The nurse monitors the child's vital signs every 2 to 4 hours is appropriate. Regular monitoring of vital signs is important in children with neutropenia to detect early signs of infection or sepsis.

B. The nurse carefully washes his/her hands before and after providing care is appropriate. Hand hygiene is critical in preventing the transmission of infection, especially in neutropenic patients who are at high risk of infections.

C. The child has been placed in a semi-private room requires further education. A child with a neutrophil count of 225 is at significant risk of infection, and placing the child in a semi-private room increases the risk of exposure to pathogens. The child should be placed in a private room to minimize exposure to infectious agents.

D. The nurse assesses the child for clinical signs of an infection is appropriate. Vigilant monitoring for infection is essential in neutropenic patients, as they are more susceptible to infections.

A. Encourage active range of motion exercises B. Administer antibiotics as prescribed C. Apply heat to the affected area D. Administer factor replacement therapy as prescribed

Correct Answer is D

Explanation

A. Encourage active range of motion exercises is incorrect. Active range of motion exercises should be avoided during a bleeding episode, as it may exacerbate the bleeding or cause further injury. Hemophilia requires rest and stabilization during bleeding episodes.

B. Administer antibiotics as prescribed is incorrect. Antibiotics are typically not needed for bleeding episodes unless there is a risk of infection from a wound. The primary concern during a bleeding episode is managing the bleeding, not preventing infection.

C. Apply heat to the affected area is incorrect. Heat is not recommended during a bleeding episode as it can increase blood flow and worsen bleeding. Instead, ice may be applied to help control bleeding and reduce swelling.

D. Administer factor replacement therapy as prescribed is correct. The priority in managing bleeding in a child with hemophilia is to administer factor replacement therapy, which helps to replace the missing clotting factors in the blood, enabling proper clot formation and stopping the bleeding.

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A nurse is assessing a child with iron deficiency anemia. Which of the following is NOT an expected finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A child with hemophilia is experiencing a bleeding episode. After applying pressure to the bleeding site, what is the priority intervention?

Correct Answer is D

Explanation

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