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A nurse is assisting with the care of a 7-year-old child.

Exhibits
The nurse is reviewing the data collection findings and diagnostic results. For each data collection finding, click to specify if the finding is consistent with leukemia, sickle cell anemia, or hemophilia. Each finding may support more than 1 disease process.

A.

Reported pain

B.

Bleeding

C.

Temperature

D.

Bruising

E.

WBC count

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,C"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Reported pain

  • Leukemia: Possible, as bone pain can occur due to marrow involvement.
  • Sickle Cell Anemia: Yes, common due to vaso-occlusive crises.
  • Hemophilia: No, hemophilia typically causes bleeding rather than pain from blood cell abnormalities.

Bleeding

  • Leukemia: Yes, due to thrombocytopenia.
  • Sickle Cell Anemia: No, bleeding is not typical in sickle cell crises.
  • Hemophilia: Yes, hemophilia is a bleeding disorder due to a clotting factor deficiency.

Temperature

  • Leukemia: Yes, fever can indicate infection due to immunosuppression.
  • Sickle Cell Anemia: Yes, fever can be a sign of infection during crises.
  • Hemophilia: No, hemophilia does not cause fever unless there is an infection.

Bruising

  • Leukemia: Yes, thrombocytopenia can lead to easy bruising.
  • Sickle Cell Anemia: No, bruising is not typical in sickle cell crises.
  • Hemophilia: Yes, due to a clotting factor deficiency, easy bruising is common.

WBC count

  • Leukemia: Yes, often elevated due to immature or abnormal white cells.
  • Sickle Cell Anemia: No, WBC count is usually normal unless there is an infection.
  • Hemophilia: No, WBC count is typically normal in hemophilia.


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Related Questions

Correct Answer is D

Explanation

A. 2 hr: While some patients may tolerate faster infusion rates, the maximum safe time is 4 hours, and there is no requirement to complete it in 2 hours.

B. 8 hr: Blood cannot be left out for 8 hours due to the increased risk of bacterial growth and contamination.

C. 6 hr: Infusing blood over 6 hours exceeds the safe time limit and poses a risk of bacterial contamination.

D. 4 hr: To reduce the risk of bacterial contamination, a unit of packed RBCs must be transfused within 4 hours of starting the infusion. This time frame ensures that the blood remains safe for the patient while minimizing exposure to room temperature.

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,C"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

Reported pain

  • Leukemia: Possible, as bone pain can occur due to marrow involvement.
  • Sickle Cell Anemia: Yes, common due to vaso-occlusive crises.
  • Hemophilia: No, hemophilia typically causes bleeding rather than pain from blood cell abnormalities.

Bleeding

  • Leukemia: Yes, due to thrombocytopenia.
  • Sickle Cell Anemia: No, bleeding is not typical in sickle cell crises.
  • Hemophilia: Yes, hemophilia is a bleeding disorder due to a clotting factor deficiency.

Temperature

  • Leukemia: Yes, fever can indicate infection due to immunosuppression.
  • Sickle Cell Anemia: Yes, fever can be a sign of infection during crises.
  • Hemophilia: No, hemophilia does not cause fever unless there is an infection.

Bruising

  • Leukemia: Yes, thrombocytopenia can lead to easy bruising.
  • Sickle Cell Anemia: No, bruising is not typical in sickle cell crises.
  • Hemophilia: Yes, due to a clotting factor deficiency, easy bruising is common.

WBC count

  • Leukemia: Yes, often elevated due to immature or abnormal white cells.
  • Sickle Cell Anemia: No, WBC count is usually normal unless there is an infection.
  • Hemophilia: No, WBC count is typically normal in hemophilia.

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