A child with thalassemia major receives blood transfusions frequently. What is a complication of repeated blood transfusions?
Hemosiderosis
Hematuria
Hemarthrosis
Hemoptysis
The Correct Answer is A
A. Hemosiderosis: Hemosiderosis is the accumulation of iron in tissues (especially the liver, heart, and pancreas) due to frequent blood transfusions, a common treatment for thalassemia major. It can lead to organ damage if not managed with chelation therapy.
B. Hematuria: Hematuria (blood in urine) is not directly linked to repeated transfusions; it may indicate kidney issues.
C. Hemarthrosis: Hemarthrosis (bleeding into joints) is characteristic of hemophilia, not thalassemia.
D. Hemoptysis: Hemoptysis (coughing up blood) is usually related to pulmonary conditions, not a result of transfusions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Machine-like murmur: This is a hallmark finding of patent ductus arteriosus (PDA), not coarctation.
B. Severe cyanosis: Cyanosis is more typical in conditions with right-to-left shunting, not coarctation.
C. Pulmonary edema: May occur in heart failure but is not a primary or specific sign of coarctation.
D. Decreased blood pressure in the legs: Coarctation of the aorta causes narrowing, leading to higher BP in the upper extremities and lower BP in the legs.
Correct Answer is D
Explanation
A. Increase the dose of ibuprofen: Changing the dose without provider approval is unsafe and not within the nurse's scope.
B. Increase the frequency of ibuprofen: This may risk overdose and should not be done without a physician’s order.
C. Encourage the child to lie on the right side: Lying on the affected side (right) can increase discomfort.
D. Encourage the child to lie on the left side: Lying on the unaffected side may relieve pleuritic pain by reducing pressure on the inflamed lung.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
