Which of the following Reticulocyte count is an indicator of severe anemia for an infant?
3%
8%
0.5%
5%
The Correct Answer is B
The reticulocyte count is a measure of young, immature red blood cells. An elevated reticulocyte count indicates the bone marrow's ability to respond to anemia by producing new red blood cells.
For an infant, a reticulocyte count of 8% would be an indicator of severe anemia. An elevated reticulocyte count suggests the body is trying to compensate for the decreased number of mature red blood cells by producing more young ones. This is often seen in severe anemia as the body attempts to increase the red blood cell count.
The other options (A, C, and D) represent normal or less severe reticulocyte counts.
A reticulocyte count of 3% is within the normal range.
A reticulocyte count of 0.5% is on the lower side but not as severe as 8%.
A reticulocyte count of 5% indicates a response to anemia but is not as elevated as 8%.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Option A (Place the infant in reverse Trendelenburg position) and option B (Place the infant in the knee to chest position) are not the immediate actions to address this situation. While these positions might be used in specific situations, assessing blood pressure is more appropriate in this context to evaluate for potential vascular issues.
Option C. Take the infant's blood pressure in all extremities.
In an infant with weaker femoral pulses compared to the brachial and radial pulses, there might be a concern about coarctation of the aorta (a narrowing of the aorta), which can affect blood flow to the lower extremities. To confirm this and assess for potential issues, taking blood pressure measurements in all four extremities is crucial. This comparison can help identify pressure differentials between the upper and lower extremities, which is a hallmark sign of coarctation of the aorta.
Option D (Notify the Physician) is generally a good step, but taking the blood pressure in all extremities should be done first to provide comprehensive information for the physician when discussing the infant's condition.
Correct Answer is C
Explanation
A. Dress the child in woolen clothes during cold months: Wool can be irritating to the skin and may worsen eczema symptoms. Cotton or soft fabrics are typically better choices.
B. Launder the child's clothing with fabric softener: Fabric softeners often contain chemicals that can irritate the skin. It's best to use fragrance-free and hypoallergenic detergents and skip fabric softeners.
C. Apply a topical corticosteroid ointment to the affected area.
When teaching a parent of a preschooler with eczema, it's essential to provide guidance on appropriate treatments. Applying a topical corticosteroid ointment is an effective approach for managing eczema symptoms. These medications can help reduce inflammation and itching, which are common in eczema. However, it's crucial for the parent to use them as directed by a healthcare provider and not excessively.
D. Give the child a bubble bath every day: Frequent bathing, especially with bubble baths, can dry out the skin and worsen eczema. It's usually better to limit baths and use gentle, fragrance-free cleansers.
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