A nurse is teaching a newly diagnosed client about B-thalassemla major (Cooley anemla). What response by the client indicates correct understanding of Chelation therapy?

Manages nausea and vomiting

Eliminates excess iron

Decreases the risk of hypoxia

Treats the disease

Answer and Explanation

The Correct Answer is B

A.   Chelation therapy does not stimulate hemoglobin production; it primarily targets iron overload, which can occur due to repeated transfusions.
B.   Chelation therapy helps remove excess iron from the body, which accumulates due to frequent blood transfusions required in children with thalassemia.
C.   Chelation therapy does not stimulate RBC production. It addresses the issue of iron overload.
D.   Chelation therapy does not prevent infections. It is specifically used to treat iron overload in thalassemia patients.

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Correct Answer is A

Explanation

A. The nurse should encourage open communication and allow the adolescent to express their emotions about the amputation. This provides emotional support and helps the child process the upcoming surgery.
B. Encouraging immediate return to physical activities may not be realistic or helpful right after surgery.
C. Assisting the adolescent in accepting the procedure as a better alternative to chemotherapy may minimize the emotional aspects of the situation and is not an ideal approach.
D. Avoiding the topic of the procedure can increase anxiety and delay the emotional preparation needed for the surgery.

A. Tachycardia B. Hyporeflexia C. Increased appetite D. Negative Babinski reflex

Correct Answer is A

Explanation

A. Tachycardia can occur with a brain tumor due to increased intracranial pressure and systemic stress responses.
B. Hyporeflexia is not a typical sign of a brain tumor. Hyperreflexia or changes in reflexes may be seen with central nervous system involvement.
C. Decreased appetite is more common due to nausea, vomiting, and other neurological symptoms associated with brain tumors.
D. A negative Babinski reflex is normal in children over 2 years old, and a positive Babinski reflex (extending the toes) may indicate neurological involvement, not a typical finding in brain tumors.

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A nurse is teaching a newly diagnosed client about B-thalassemla major (Cooley anemla). What response by the client indicates correct understanding of Chelation therapy?

Nursing Test Bank

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Correct Answer is A

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