41. Several complications can occur when a child receives a : 1361540

41. Several complications can occur when a child receives a : 1361540.

 

41. Several complications can occur when a child receives a blood transfusion. Which is an immediate sign or symptom of an air embolus?

a. Chills and shaking

b. Nausea and vomiting

c. Irregular heart rate

d. Sudden difficulty in breathing

42. An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. These manifestations are most suggestive of:

a. air emboli.

b. allergic reaction.

c. hemolytic reaction.

d. circulatory overload.

43. An adolescent will receive a bone marrow transplant (BMT). The nurse should explain that the bone marrow will be administered by which route?

a. Bone grafting

b. Bone marrow injection

c. IV infusion

d. Intra-abdominal infusion

44. The nurse is reviewing first aid with a group of school nurses. Which statement made by a participant indicates a correct understanding of the information?

a. “If a child loses a tooth due to injury, I should place the tooth in warm milk.”

b. “If a child has recurrent abdominal pain, I should send him or her back to class until the end of the day.”

c. “If a child has a chemical burn to the eye, I should irrigate the eye with normal saline.”

d. “If a child has a nosebleed, I should have the child sit up and lean forward.”

MULTIPLE RESPONSE

1. The nurse is planning care for a school-age child admitted to the hospital with hemophilia. Which interventions should the nurse plan to implement for this child? (Select all that apply.)

a. Finger sticks for blood work instead of venipunctures

b. Avoidance of IM injections

c. Acetaminophen (Tylenol) for mild pain control

d. Soft tooth brush for dental hygiene

e. Administration of packed red blood cells

2. Parents of a school-age child with hemophilia ask the nurse, “Which sports are recommended for children with hemophilia?” Which sports should the nurse recommend? (Select all that apply.)

a. Soccer

b. Swimming

c. Basketball

d. Golf

e. Bowling

3. Which should the nurse teach about prevention of sickle cell crises to parents of a preschool child with sickle cell disease? (Select all that apply.)

a. Limit fluids at bedtime.

b. Notify the health care provider if a fever of 38.5° C (101.3° F) or greater occurs.

c. Give penicillin as prescribed.

d. Use ice packs to decrease the discomfort of vasoocclusive pain in the legs.

e. Notify the health care provider if your child begins to develop symptoms of a cold.

4. The nurse is preparing to give oral care to a school-age child with mucositis secondary to chemotherapy administered to treat leukemia. Which preparations should the nurse use for oral care on this child? (Select all that apply.)

a. Chlorhexidine gluconate (Peridex)

b. Lemon glycerin swabs

c. Antifungal troches (lozenges)

d. Lip balm (Aquaphor)

e. Hydrogen peroxide

SHORT ANSWER

1. A toddler with leukemia is on intravenous chemotherapy treatments. The toddler’s lab results are WBC: 1000; neutrophils: 7%; nonsegmented neutrophils (bands): 7%. What is this child’s absolute neutrophil count (ANC)? (Record your answer in a whole number.)

ESSAY

1. The nurse has initiated a blood transfusion on a preschool child. The child begins to exhibit signs of a transfusion reaction. Place in order the interventions the nurse should implement sequencing from the highest priority to the lowest. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d).

a. Take the vital signs.

b. Stop the transfusion.

c. Notify the practitioner.

d. Maintain a patent IV line with normal saline.

 

 

41. Several complications can occur when a child receives a : 1361540

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