A nurse is teaching a newly diagnosed client about B-thalassemla major (Cooley anemla). What response by the client indicates correct understanding of Chelation therapy?

Manages nausea and vomiting

Eliminates excess iron

Decreases the risk of hypoxia

Treats the disease

Answer and Explanation

The Correct Answer is B

A.   Chelation therapy does not stimulate hemoglobin production; it primarily targets iron overload, which can occur due to repeated transfusions.
B.   Chelation therapy helps remove excess iron from the body, which accumulates due to frequent blood transfusions required in children with thalassemia.
C.   Chelation therapy does not stimulate RBC production. It addresses the issue of iron overload.
D.   Chelation therapy does not prevent infections. It is specifically used to treat iron overload in thalassemia patients.

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Correct Answer is A

Explanation

A. The nurse should avoid manipulating the stent or dressings to prevent dislodging or introducing infection.
B. Tub baths should be avoided until healing occurs, typically after the wound has been sufficiently healed.
C. Fluid restriction is not necessary unless prescribed for another condition.
D. Anticholinergic medications are not indicated unless there is a specific need, such as managing bladder spasms.

A. Upon auscultation, clear bilateral breath sounds. B. Dyspnea. C. Upon auscultation a machine-like murmur in the right upper sternal border. D. Cyanosis. E. Difficulty feeding

Correct Answer is ["B","C","E"]

Explanation

A. Clear bilateral breath sounds are not typical in PDA; instead, crackles or signs of respiratory distress may be present.
B. Dyspnea (difficulty breathing) is common due to the increased pulmonary blood flow from the PDA.
C. A machine-like murmur heard at the right upper sternal border is characteristic of PDA.
D. Cyanosis is typically not present in isolated PDA unless the PDA is large and leads to right-to-left shunting.
E. Difficulty feeding is a common symptom because the newborn may tire easily due to inefficient circulation and increased work of breathing.

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A nurse is teaching a newly diagnosed client about B-thalassemla major (Cooley anemla). What response by the client indicates correct understanding of Chelation therapy?

Nursing Test Bank

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Correct Answer is A

Explanation

The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

Correct Answer is ["B","C","E"]

Explanation

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