The nurse observes that a client with sickle cell anemia and on a blood transfusion regimen has cardiac dysrhythmias due to iron overdose toxicity. Which medication is most beneficial to this client?

Trientine

Dimercaprol

Ferrous gluconate

Defaroxamine

Answer and Explanation

The Correct Answer is D

A. Trientine: Trientine is a medication used to treat copper overload in conditions like Wilson's disease. It is not indicated for iron overdose or toxicity.

B. Dimercaprol: Dimercaprol, also known as BAL (British Anti-Lewisite), is a chelating agent used to treat heavy metal poisoning but is not primarily used for iron overload or toxicity.

C. Ferrous gluconate: Ferrous gluconate is an iron supplement used to treat iron-deficiency anemia by providing additional iron to the body. It is not appropriate for treating iron overdose, as it would worsen the situation.

D. Deferoxamine.

Iron overdose, also known as iron toxicity, can lead to serious complications, including cardiac dysrhythmias. Deferoxamine is a chelating agent used to remove excess iron from the body in cases of iron overload or toxicity, such as in patients with conditions like sickle cell anemia who require frequent blood transfusions. It binds to excess iron and helps excrete it from the body, reducing the risk of iron-related complications, including cardiac issues.

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Correct Answer is B

Explanation

The reticulocyte count is a measure of young, immature red blood cells. An elevated reticulocyte count indicates the bone marrow's ability to respond to anemia by producing new red blood cells.

For an infant, a reticulocyte count of 8% would be an indicator of severe anemia. An elevated reticulocyte count suggests the body is trying to compensate for the decreased number of mature red blood cells by producing more young ones. This is often seen in severe anemia as the body attempts to increase the red blood cell count.

The other options (A, C, and D) represent normal or less severe reticulocyte counts.

A reticulocyte count of 3% is within the normal range.

A reticulocyte count of 0.5% is on the lower side but not as severe as 8%.

A reticulocyte count of 5% indicates a response to anemia but is not as elevated as 8%.

A. Provide activities for the sing to do at home B. Avoid interruptions by coordinating using actions C. Anwer questions honestly and clearly D. Encourage the sibling to write in a journal

Correct Answer is C

Explanation

A. Provide activities for the sibling to do at home: While providing activities can be a good way to engage the sibling and offer a distraction, it may not address their need for understanding and emotional support. Answering questions and providing information about the condition is more directly beneficial in this context.

B. Avoid interruptions by coordinating using actions: This option is not clear and may not directly address the social support needs of the sibling. It's important to have open communication and address their concerns rather than coordinating actions to avoid interruptions.

C. Answer questions honestly and clearly.

In a situation where a 10-year-old sibling of a child with a complex chronic condition needs social support, providing honest and clear answers to their questions is essential. It's important to address their concerns and provide information in an age-appropriate manner. Children can feel anxious or confused when a sibling has a complex chronic condition, and providing honest and clear answers helps them understand the situation better and reduces their anxiety.

D. Encourage the sibling to write in a journal: While journaling can be a helpful coping strategy, it may not be the most immediate response to their social support needs. Answering questions and providing emotional support should come first.

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The nurse observes that a client with sickle cell anemia and on a blood transfusion regimen has cardiac dysrhythmias due to iron overdose toxicity. Which medication is most beneficial to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following Reticulocyte count is an indicator of severe anemia for an infant?

Correct Answer is B

Explanation

To meet the social support needs of a 10 year-old sibling of a child with a complex chronic condition, the most appropriate nursing action is to

Correct Answer is C

Explanation

When assessing an 18-month-old toddler, the nurse would expect the child to be able to:

The nurse observes that a client with sickle cell anemia and on a blood transfusion regimen has cardiac dysrhythmias due to iron overdose toxicity. Which medication is most beneficial to this client?

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