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 D
Explanation
A. A low-protein diet may be appropriate for chronic conditions but is not specifically indicated for acute glomerulonephritis with edema.
B. A regular diet with no added salt might not be sufficient for managing acute glomerulonephritis, especially with significant edema and reduced urine output.
C. A low-carbohydrate, low-protein diet is not specifically indicated for managing acute glomerulonephritis.
D. A low-sodium, fluid-restricted diet is important in managing edema and fluid retention associated with acute glomerulonephritis.
Correct Answer is A
Explanation
Shaking the inhaler for 3 to 5 seconds ensures that the medication is properly mixed and will be delivered effectively during inhalation.
B. The correct waiting time between inhalations is usually 1 minute, not 2 minutes, to allow for optimal bronchodilation.
C. Pressing down twice on the MDI canister is incorrect. The client should press down once and inhale the medication deeply.
D. Rinsing the mouth after using the MDI is recommended to prevent oral thrush, but using water, not mouthwash, is generally advised to avoid potential irritation.
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