The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?
Enlarged mandibular growth
Depigmented areas on the abdomen
Slightly yellow sclera
Increased growth of long bones
The Correct Answer is C
A. Enlarged mandibular growth is not characteristic of sickle-cell anemia.
B. Depigmented areas on the abdomen are not associated with sickle-cell anemia.
C. Slightly yellow sclera (jaundice) is consistent with sickle-cell anemia due to the breakdown of red blood cells, which can lead to an increased level of bilirubin.
D. Increased growth of long bones is not typically associated with sickle-cell anemia; instead, there may be pain and deformities related to sickle cell crises.
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Related Questions
Correct Answer is D
Explanation
A. Positioning the infant on the abdomen is contraindicated after cleft lip repair because it could put pressure on the surgical site, risking injury or dehiscence.
B. Offering a pacifier is not advised as it could disrupt the surgical site and delay healing.
C. Ibuprofen is not typically recommended for infants younger than 6 months due to the risk of adverse effects; acetaminophen is usually preferred for pain management in this age group.
D. Encouraging the parents to rock the infant provides comfort and soothes the baby without risking harm to the surgical site. Parental involvement also helps with bonding and emotional support during recovery.
Correct Answer is C
Explanation
A. By 15 months, a toddler typically can build a tower of two to three cubes; a tower of six to seven cubes is expected closer to 24 months.
B. Jumping with both feet is generally expected closer to age 2-3 years.
C. By 15 months, a toddler should be able to stand upright without support. Failure to do so could indicate a delay in motor development.
D. Turning a doorknob is a skill that develops later, around age 2-3 years.
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