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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. They may believe that death is punishment for bad behavior. Preschool-aged children may have a limited understanding of death and may see it as a form of punishment for wrongdoing. They may not fully comprehend that death is a natural event.
B. They may believe that death is temporary or reversible. At this age, children tend to have magical thinking and may believe that the deceased person can come back to life or that they will return after a period of time.
E. They may believe that death is caused by their thoughts. Preschoolers often struggle with the concept of causality and may believe that their thoughts or wishes could cause something to happen, including death.
C. They may have a fear of death and view it as something to be avoided. While some preschoolers may fear death, this is more common in older children or adolescents who begin to grasp the permanency of death.
D. They understand death as a natural part of the life cycle. Preschool children typically do not have a fully developed understanding of death as part of the life cycle; they may not recognize its natural inevitability.
F. They have a concrete understanding of death as a permanent cessation of life. A concrete understanding of death is usually not achieved until later childhood (around 7-9 years of age) when children start to understand the permanence and finality of death.
Correct Answer is A
Explanation
A. The absolute neutrophil count (ANC) is the best indicator of a child's ability to fight infection. Neutrophils are a type of white blood cell crucial for fighting bacterial infections, and chemotherapy can suppress bone marrow production of neutrophils. The ANC helps assess the risk for infection and the need for additional precautions, such as infection control.
B. Eosinophils are a type of white blood cell that primarily respond to allergies and parasitic infections, and their count is not used to assess infection risk in chemotherapy patients.
C. The red blood cell count (RBC) is important for assessing oxygen-carrying capacity but does not directly relate to infection-fighting ability.
D. Hemoglobin (Hgb) reflects the oxygen-carrying capacity of the blood, not the body's ability to fight infection.
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