A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select All that Apply.)

"Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels."

"Sickled red blood cells are c-shaped and tend to stick together more easily."

"Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells."

"Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels."

"Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood."

Answer and Explanation

Correct Answer : B,D,E

A. Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels is incorrect. Sickled red blood cells are rigid and inflexible, which makes it difficult for them to pass through small blood vessels, contributing to blockages and reduced oxygen delivery.

B. Sickled red blood cells are c-shaped and tend to stick together more easily is correct. Sickled red blood cells have an abnormal, crescent or "C" shape, and they stick together, which can cause clumping and block blood flow in small vessels, leading to pain and organ damage.

C. Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells is incorrect. Sickled red blood cells have a shortened life span (about 10-20 days) compared to normal red blood cells, which typically last 120 days, leading to a higher rate of cell destruction and anemia.

D. Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels is correct. The rigidity of sickled cells prevents them from easily moving through small blood vessels, causing occlusions, pain, and organ damage.

E. Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood is correct. Due to their short life span, sickled cells are destroyed more quickly, leading to anemia and reduced oxygen-carrying capacity in the blood.

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Correct Answer is C

Explanation

A. Keep the infant supine is incorrect. After cleft palate repair, it is generally recommended to keep the infant in a position that minimizes pressure on the surgical site. Keeping the infant in a supine position may cause pressure on the repaired area, so side or semi-prone positioning is preferred.

B. Suction the mouth with an oral suction tube is incorrect. Suctioning should be avoided unless absolutely necessary because it can irritate the surgical site and cause trauma to the newly repaired palate.

C. Apply elbow restraints and release them periodically is correct. Elbow restraints are commonly used after cleft palate surgery to prevent the infant from touching or putting pressure on the surgical site. These restraints should be periodically released to allow for movement and prevent skin breakdown.

D. Feed the infant with a spoon for 48 hours is incorrect. After cleft palate repair, feeding should be done carefully. Special feeding bottles or cups are typically used to avoid trauma to the surgical site. Feeding with a spoon may cause pressure on the repair and should be avoided.

A. Ribs B. Upper leg C. Head D. Spine

Correct Answer is B

Explanation

A. Ribs are not a typical location for rhabdomyosarcoma, which primarily affects soft tissue. While it can occur in any area of the body, tumors most commonly develop in the muscles, such as in the upper leg.

B. Upper leg is the most common site of rhabdomyosarcoma in children. This cancer originates in the soft tissues, particularly skeletal muscles.

C. Head is a less common site for rhabdomyosarcoma, although it can occur in the head or neck region. However, the upper leg is more frequently affected.

D. Spine is not a typical location for rhabdomyosarcoma. While other sarcomas can affect bones and tissues of the spine, rhabdomyosarcoma generally affects soft tissues like muscles and tendons.

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A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?

Correct Answer is C

Explanation

A nurse is assessing a pediatric client who is exhibiting manifestations of rhabdomyosarcoma. In which area of the body should the nurse expect to find a tumor?

Correct Answer is B

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