A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select All that Apply.)

"Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels."

"Sickled red blood cells are c-shaped and tend to stick together more easily."

"Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells."

"Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels."

"Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood."

Answer and Explanation

Correct Answer : B,D,E

A. Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels is incorrect. Sickled red blood cells are rigid and inflexible, which makes it difficult for them to pass through small blood vessels, contributing to blockages and reduced oxygen delivery.

B. Sickled red blood cells are c-shaped and tend to stick together more easily is correct. Sickled red blood cells have an abnormal, crescent or "C" shape, and they stick together, which can cause clumping and block blood flow in small vessels, leading to pain and organ damage.

C. Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells is incorrect. Sickled red blood cells have a shortened life span (about 10-20 days) compared to normal red blood cells, which typically last 120 days, leading to a higher rate of cell destruction and anemia.

D. Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels is correct. The rigidity of sickled cells prevents them from easily moving through small blood vessels, causing occlusions, pain, and organ damage.

E. Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood is correct. Due to their short life span, sickled cells are destroyed more quickly, leading to anemia and reduced oxygen-carrying capacity in the blood.

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Correct Answer is C

Explanation

A. Gross motor skill development is important for an infant’s overall development, but it is not the primary focus when caring for an infant with a cleft palate. Gross motor skills typically develop at a normal rate unless there are additional concerns.

B. Fine motor skill development is also important, but for an infant with a cleft palate, the primary concern is related to communication and feeding difficulties. Fine motor development generally follows the same trajectory unless there are complicating factors.

C. Speech and language acquisition is the most important area to focus on when planning care for an infant with a cleft palate. A cleft palate can significantly impact the infant’s ability to produce sounds and develop normal speech patterns. Early intervention and support from speech therapists are essential to address these issues.

D. Cognitive development is vital for all infants, but cleft palate primarily affects speech and feeding, making speech and language acquisition the most immediate concern for overall development.

A. Consuming a diet high in iron-rich foods B. Regular consumption of fortified cereals C. Excessive intake of cow's milk D. Participating in physical activities

Correct Answer is C

Explanation

A. Consuming a diet high in iron-rich foods, such as lean meats, beans, and leafy vegetables, can help prevent iron deficiency anemia.

B. Regular consumption of fortified cereals provides essential nutrients, including iron, which can help prevent anemia.

C. This is the correct answer. Excessive intake of cow's milk can be a risk factor for iron deficiency anemia in toddlers because cow's milk is low in iron and can interfere with iron absorption. Additionally, consuming large amounts of cow's milk can cause gastrointestinal blood loss, further contributing to iron deficiency.

D. While participating in physical activities is important for a toddler's growth and development, it does not directly relate to an increased risk for iron deficiency anemia.

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A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for a 6-month-old infant who has a cleft palate. Which area should the nurse consider when addressing the child's overall development?

Correct Answer is C

Explanation

Which of the following is a risk factor for iron deficiency anemia in toddlers?

Correct Answer is C

Explanation

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