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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. A storybook may provide comfort and information but is less interactive in helping the child process the experience of injections.

B. Playing in the playroom is beneficial for normalizing hospital stays but does not directly address the child’s distress regarding injections.

C. A video game can be a good distraction but does not provide therapeutic engagement with the fear or anxiety related to injections.

D. Allowing the child to play with a needleless syringe and a doll is therapeutic as it gives the child a sense of control and understanding of the injection process, helping to reduce fear and anxiety.

A. Implement seizure precautions. B. Admit the client to a private room. C. Place the client in a semi-Fowler's position. D. Measure head circumference every shift.

Correct Answer is D

Explanation

A. Seizure precautions are necessary due to the risk of seizures in bacterial meningitis.

B. A private room is necessary to reduce the spread of infection to others.

C. Semi-Fowler's position helps reduce intracranial pressure and is appropriate in managing bacterial meningitis.

D. Measuring head circumference every shift is not typically required for a 6-year-old with bacterial meningitis, as it is more relevant in infants where rapid head growth could indicate increased intracranial pressure.

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The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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