A nurse is assessing a child with iron deficiency anemia. Which of the following is NOT an expected finding?
Increased appetite
Pallor
Tachycardia
Brittle spoon-shaped nails
The Correct Answer is A
A. Increased appetite is not an expected finding in a child with iron deficiency anemia. Children with iron deficiency anemia typically experience a reduced appetite or may develop pica (craving non-food substances) rather than an increased appetite.
B. Pallor is a common sign of iron deficiency anemia, as a lack of iron reduces the number of red blood cells and the amount of hemoglobin, leading to pale skin and mucous membranes.
C. Tachycardia is a compensatory response to anemia, as the heart works harder to deliver oxygen to tissues due to a reduced capacity of the blood to carry oxygen.
D. Brittle spoon-shaped nails (koilonychia) are a classic physical finding in iron deficiency anemia, caused by the reduced oxygen delivery to the nails and skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Nurses should ignore the guilt they feel when a child dies." This statement reflects an unhealthy response to grief. Nurses should acknowledge and process their feelings of guilt, rather than ignoring them, to maintain emotional well-being and provide appropriate care.
B. "The family members should be made aware that the nurse is experiencing anticipatory grief." While nurses may experience anticipatory grief, it is not appropriate to burden the family with the nurse’s own emotional experiences. Nurses should maintain professional boundaries and provide support for the family without disclosing personal grief.
C. "It is unexpected for you to be personally involved with the client and their family." This statement suggests emotional detachment, which can be counterproductive in palliative care. Nurses may form emotional connections, but they should manage their emotional responses appropriately. It’s important to balance emotional involvement with professional boundaries.
D. "Nurses should participate in grief and death education to resolve grief." This statement is correct. Nurses need education on grief and death to understand their emotional responses and help process them effectively. Education helps nurses to support their patients and families while managing their own emotions in a professional way.
Correct Answer is C
Explanation
A. Notify the adolescent's primary care provider is incorrect. While it is important to notify the healthcare provider, the immediate priority is performing a thorough assessment to determine the severity of the head injury and any potential complications, such as changes in consciousness or neurological status.
B. Collect a detailed past medical history is incorrect. Although collecting medical history is important, it is not the priority in the acute phase of a suspected head injury. The priority is to assess the current condition of the adolescent, especially signs of deterioration.
C. Perform a thorough assessment noting acute conditions is correct. The priority in suspected head injuries is to perform a thorough assessment to evaluate the patient's neurological status. This includes checking for signs of a concussion, increased intracranial pressure, or any other acute conditions that may require immediate intervention.
D. Administer pain medication to the adolescent is incorrect. Pain management is important, but it should not be the first action when a head injury is suspected, as it can mask symptoms or affect the ability to assess neurological function properly.
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