The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?
Enlarged mandibular growth
Depigmented areas on the abdomen
Slightly yellow sclera
Increased growth of long bones
The Correct Answer is C
A. Enlarged mandibular growth is not characteristic of sickle-cell anemia.
B. Depigmented areas on the abdomen are not associated with sickle-cell anemia.
C. Slightly yellow sclera (jaundice) is consistent with sickle-cell anemia due to the breakdown of red blood cells, which can lead to an increased level of bilirubin.
D. Increased growth of long bones is not typically associated with sickle-cell anemia; instead, there may be pain and deformities related to sickle cell crises.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["20"]
Explanation
To administer the correct dose of erythromycin ethylsuccinate, which is 800 mg, when the available medication concentration is 200 mg per 5 mL, the nurse needs to calculate the volume of medication to provide the prescribed dose. The calculation is as follows: 800 mg divided by 200 mg equals 4. Then, multiply 4 by 5 mL to get the total volume needed for the 800 mg dose. Therefore, the nurse should administer 20 mL of erythromycin ethylsuccinate to deliver the prescribed 800 mg dose.
Correct Answer is B
Explanation
A. Isosorbide dinitrate is a nitrate that helps to dilate blood vessels and reduce the workload on the heart. It is generally safe for clients with asthma.
B. Carvedilol is a beta-blocker used to manage heart failure, but it can also cause bronchoconstriction, which is dangerous for clients with asthma. Beta-blockers can exacerbate asthma symptoms, so clarification is needed before administration.
C. Fluticasone is a corticosteroid commonly used to manage asthma and other respiratory conditions; it is not contraindicated for this client.
D. Captopril is an ACE inhibitor used to treat heart failure and does not pose a risk for clients with asthma.
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