When teaching the parents and patients newly diagnosed with beta-thalassemia, which statement made by the parents or patients indicates a need for additional teaching?

Patient should increase daily iron supplements.

Signs and symptoms of infection.

Our child will need to have blood transfusions.

Swimming is a good activity for our child.

Answer and Explanation

The Correct Answer is A

Choice A reason: Patient should increase daily iron supplements, is a statement that indicates a need for additional teaching. Iron supplements are not recommended for patients with beta-thalassemia, because they already have high levels of iron in their blood due to the frequent blood transfusions. Excess iron can cause damage to the liver, heart, and other organs. Therefore, the patient should avoid iron supplements and foods rich in iron, and take chelation therapy to remove the excess iron from the body.

Choice B reason: Signs and symptoms of infection, is a statement that does not indicate a need for additional teaching. Patients with beta-thalassemia are at risk of developing infections, due to the impaired immune system and the exposure to blood-borne pathogens. Therefore, the patient should be aware of the signs and symptoms of infection, such as fever, chills, sore throat, cough, or skin lesions, and seek medical attention promptly.

Choice C reason: Our child will need to have blood transfusions, is a statement that does not indicate a need for additional teaching. Blood transfusions are the main treatment for patients with beta-thalassemia, because they help to increase the level of hemoglobin and red blood cells, and prevent anemia and its complications. Therefore, the patient should receive regular blood transfusions, usually every two to four weeks, depending on the severity of the condition.

Choice D reason: Swimming is a good activity for our child, is a statement that does not indicate a need for additional teaching. Swimming is a good activity for patients with beta-thalassemia, because it helps to improve the cardiovascular fitness, muscle strength, and joint mobility, and reduce the stress and fatigue. Therefore, the patient should engage in moderate physical activities, such as swimming, walking, or cycling, as tolerated, and avoid strenuous or competitive sports that can cause injury or dehydration.

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Correct Answer is B

Explanation

Choice A reason: "Try relaxation and warm moist compresses for your headaches and document your response." is not the best instruction by the nurse to gather additional data before the appointment. It is a suggestion for self-care and pain relief, but it does not provide any information about the cause, type, or severity of the headaches.

Choice B reason: "Keep a diary of your headaches, recording symptoms, timing, and headache triggers." is the best instruction by the nurse to gather additional data before the appointment. It is a useful tool for collecting objective and subjective data about the headaches, such as their frequency, duration, intensity, location, quality, associated symptoms, and precipitating factors. This can help the primary care practitioner to diagnose the type of headache, such as migraine, tension, or cluster, and prescribe the appropriate treatment.

Choice C reason: "Call and come in the next time you have a headache so you can be examined." is not the best instruction by the nurse to gather additional data before the appointment. It is a suggestion for urgent care, but it does not provide any information about the history, pattern, or characteristics of the headaches.

Choice D reason: "Keep track of how many headaches you have before you come in." is not the best instruction by the nurse to gather additional data before the appointment. It is a simple measure of the quantity of the headaches, but it does not provide any information about the quality, severity, or triggers of the headaches.

A. A white blood cell count of 1000/mm3 B. A red blood cell count of 5 million/mm3 C. A clotting time of 10 minutes D. A thrombocyte count of 90,000 cells/mm3

Correct Answer is A

Explanation

Choice A reason: This is correct. A white blood cell count of 1000/mm3 indicates severe neutropenia, which is a condition of having abnormally low levels of neutrophils, a type of white blood cell that fights infections. Neutropenic precautions are measures to protect the client from exposure to pathogens, such as wearing a mask, gloves, and gown, avoiding contact with sick people, and practicing good hygiene.

Choice B reason: This is incorrect. A red blood cell count of 5 million/mm3 is within the normal range for both males and females. It does not indicate any risk of infection or bleeding.

Choice C reason: This is incorrect. A clotting time of 10 minutes is also within the normal range, which is 8 to 15 minutes. It does not indicate any risk of infection or bleeding.

Choice D reason: This is incorrect. A thrombocyte count of 90,000 cells/mm3 is low, but not low enough to require neutropenic precautions. Thrombocytes, also known as platelets, are responsible for blood clotting. A low thrombocyte count increases the risk of bleeding, but not infection. The normal range for thrombocyte count is 150,000 to 450,000 cells/mm3.

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When teaching the parents and patients newly diagnosed with beta-thalassemia, which statement made by the parents or patients indicates a need for additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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