In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?

“Milk is a perfect food, and babies should be able to have all the milk they want.”

“Children have a hard time getting enough iron from food during their first few years.”

“A family’s economic problems are often a cause of malnutrition.”

“Caregivers sometimes don’t understand the importance of iron and proper nutrition.”

Answer and Explanation

The Correct Answer is A

Choice A reason: Milk is not a perfect food, as excessive intake in babies can displace iron-rich foods, causing iron-deficiency anemia. This misconception overlooks milk’s low iron content, making it the correct choice for a false statement compared to accurate causes discussed among nurses.

Choice B reason: Children struggle to get enough iron in early years due to rapid growth and limited dietary sources, a true statement. Milk as a perfect food is the misconception, making this correct and incorrect for identifying a false belief about iron-deficiency anemia in children.

Choice C reason: Economic problems contribute to malnutrition, including iron deficiency, by limiting access to nutritious foods, a valid point. The milk misconception directly misleads about dietary causes, making this accurate and incorrect compared to the false statement about milk’s role in anemia prevention.

Choice D reason: Caregivers’ lack of nutrition knowledge can lead to inadequate iron intake, a true cause of anemia. The milk statement is the misconception, as it wrongly promotes milk over iron sources, making this correct and incorrect for identifying the false belief in the discussion.

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Correct Answer is B

Explanation

Choice A reason: A cool mist humidifier may help croup but is inadequate for a child with a barking cough, fever, and cyanosis (blue around the mouth), indicating severe respiratory distress. Immediate ER evaluation is critical, making this insufficient and incorrect for the urgent symptoms described in the scenario.

Choice B reason: A barking cough, fever, and cyanosis suggest severe croup or airway obstruction, requiring urgent medical evaluation. Bringing the child to the ER immediately ensures timely intervention for potential respiratory compromise, aligning with pediatric emergency protocols, making it the correct recommendation for the caregiver.

Choice C reason: Cold air exposure may temporarily relieve croup but is unsafe for a cyanotic child with fever, indicating severe distress. Immediate ER care is needed to address potential airway issues, making this risky and incorrect for managing the child’s critical symptoms in this urgent situation.

Choice D reason: Steam may help mild croup but delays care for a child with cyanosis, signaling severe respiratory compromise. Immediate ER evaluation is essential to prevent deterioration, making this inadequate and incorrect compared to the urgent need for professional assessment in the emergency department.

A. “Keep your child out of school but invite some friends over for play dates.” B. “Keep your child at home and spend as much one-on-one time with her as possible.” C. “Let your child continue to attend preschool as much as possible.” D. “Plan special outings with just the family during the time the child would normally have been at school.”

Correct Answer is C

Explanation

Choice A reason: Play dates maintain social contact but disrupt the 3-year-old’s preschool routine, which provides stability. Continuing preschool supports normalcy and security, making this less effective and incorrect compared to maintaining the familiar structure of school for a child with leukemia.

Choice B reason: Keeping the child home for one-on-one time may isolate her, reducing social interaction critical for a 3-year-old’s security. Preschool attendance fosters normalcy, making this overly restrictive and incorrect compared to supporting the child’s routine and social needs during leukemia treatment.

Choice C reason: Continuing preschool as much as possible maintains routine and social connections, fostering security for a 3-year-old with leukemia. This aligns with pediatric psychosocial care for chronic illness, making it the correct recommendation to help the child feel secure during her treatment.

Choice D reason: Special family outings are bonding but disrupt the 3-year-old’s preschool routine, which provides consistent security. Continuing school is more stabilizing, making this less consistent and incorrect compared to maintaining the child’s normal preschool environment to support her sense of security.

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In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A 3-year-old who has been attending preschool has been diagnosed with leukemia. The caregivers of this child ask the nurse what they can do to help their child feel secure. Which recommendation could the nurse make to these caregivers that would be helpful in making the child feel secure?

Correct Answer is C

Explanation

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