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 C

Explanation

A. Tricuspid atresia causes underdevelopment of the right side of the heart and does not result in increased pulmonary blood flow.
B. Pulmonic stenosis causes obstruction of blood flow to the lungs, not an increase in blood flow.
C. A ventricular septal defect (VSD) is a congenital heart defect that allows blood to flow from the left ventricle to the right ventricle, increasing blood flow to the lungs and causing pulmonary congestion.
D. Transposition of the great arteries results in two separate circulations, one for oxygenated and one for deoxygenated blood, and does not increase pulmonary blood flow

A. Administer an antiemetic as soon as the child complains of having nausea. B. Encourage drinking large amounts of favorite fluids. C. Administer an antiemetic before chemotherapy begins. D. Encourage the child to skip meals on the day of chemotherapy to avoid triggering nausea.

Correct Answer is C

Explanation

A. Administering an antiemetic only when the child complains of nausea may not be effective in preventing chemotherapy-induced nausea.
B. Encouraging drinking fluids is important, but it is not the most effective way to manage nausea.
C. Administering an antiemetic before chemotherapy begins is the best approach to prevent nausea and vomiting associated with chemotherapy.
D. Skipping meals may contribute to nausea and malnutrition, so this is not an appropriate approach.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a defect that allows blood flow from the left side to the right side of the heart through an abnormal connection. Which of the following defect results in increased pulmonary blood flow?

Correct Answer is C

Explanation

A nurse notices a school-age child with leukemia experiencing severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

Correct Answer is C

Explanation

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