A nurse is collecting data from a child who has ẞ-thalassemia. Which of the following findings should the nurse expect?

Flushed skin

Increased appetite

Fever

Hyperactivity

Answer and Explanation

The Correct Answer is C

A. Flushed skin: Children with β-thalassemia more commonly have pale or sallow skin due to anemia.
B. Increased appetite: Malnutrition is common, and appetite may be poor due to splenomegaly and chronic illness.
C. Fever: While not a direct symptom of the genetic defect itself, children with beta-thalassemia are highly susceptible to infections and often present with unexplained fevers. This susceptibility is due to several factors, including potential iron overload from frequent transfusions (which can affect immune function) and splenomegaly or functional asplenia, which reduces the body’s ability to filter pathogens.
D. Hyperactivity: The hallmark of the anemia found in beta-thalassemia is fatigue and exercise intolerance. Because the tissues are not receiving adequate oxygen, the child is much more likely to exhibit lethargy, irritability, and decreased activity levels rather than hyperactivity.

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Correct Answer is C

Explanation

A. Chronic hypoxemia: PDA causes left-to-right shunting, which increases pulmonary blood flow but usually does not cause hypoxemia unless complications develop.
B. Weak pulses: Pulses are often bounding due to increased stroke volume and decreased diastolic pressure.
C. Machine-like murmur: A continuous "machinery" murmur heard at the upper left sternal border is characteristic of PDA.
D. Cyanosis with crying: Cyanosis is more typical of right-to-left shunting congenital heart defects, not PDA.

A. Tell the parent that the child must stay in the tent. B. Call the pediatrician and obtain a prescription for a mild sedative. C. Let the parent hold the child and direct the cool mist over the child's face. D. Place a toy in the tent to make the child feel more comfortable.

Correct Answer is C

Explanation

A. Tell the parent that the child must stay in the tent. This lacks empathy and may increase the child’s anxiety. Forcing a frightened child to stay in the tent may worsen distress and respiratory symptoms.

B. Call the pediatrician and obtain a prescription for a mild sedative. Sedation is not a first-line intervention in a child with croup and can depress respiratory effort-potentially dangerous.

C. Let the parent hold the child and direct the cool mist over the child's face. This maintains the therapeutic effect of the mist while providing comfort and reducing distress, which helps prevent worsening of symptoms like stridor.

D. Place a toy in the tent to make the child feel more comfortable. While toys can distract, this does not address the child’s distress and desire to be held. It’s not an effective or immediate solution.

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A nurse is collecting data from a child who has ẞ-thalassemia. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an infant who has a large patent ductus arteriosus. Which of the following is clinical manifestations should the nurse expect?

Correct Answer is C

Explanation

A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The parent becomes concerned because the child is frightened, consistently crying, and trying to climb out of the tent. Which is the most appropriate nursing action?

Correct Answer is C

Explanation

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