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 A
Explanation
A. Testing urine for ketones is important during illness as it can indicate the presence of ketoacidosis, a potentially life-threatening complication in children with type 1 diabetes.
B. Withholding insulin during illness is dangerous, as the body may require more insulin due to increased stress and glucose production.
C. While notifying the provider for high blood glucose levels is essential, it is not the first action to take. Monitoring for ketones is crucial during illness.
D. Limiting fluid intake is not advised during illness, as adequate hydration is important to prevent dehydration and assist in glucose regulation.
Correct Answer is C
Explanation
A. Allowing the child to adapt to the surroundings is not as critical as monitoring for complications.
B. Informing the child about the completion of the procedure is important for emotional support but does not address immediate post-procedure care needs.
C. Checking pedal pulses frequently is crucial after cardiac catheterization via the femoral artery to monitor for complications such as reduced blood flow or clot formation at the insertion site.
D. Encouraging the child to talk about the procedure is supportive but not the primary concern immediately following the procedure.
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