DISORDERS VERSONAL AND
COMPREHENSIVE TEXT WITH CORRECT
ANSWERS.
The primary care pediatric nurse practitioner reviews hematology reports
on a child with betathalassemia minor and notes an Hgb level of 8 g/dL.
What will the nurse practitioner do?
A. Evaluate serum ferritin.
B. Order Hgb electrophoresis.
C. Prescribe supplemental iron.
D. Refer for RBC transfusions. - CorreCt Answers -A. Evaluate serum
ferritin.
The primary care pediatric nurse practitioner sees a 12monthold infant who
is being fed goat's milk and a vegetarian diet. The child is pale and has a
beefyred, sore tongue and oral mucous membranes. Which tests will the
nurse practitioner order to evaluate this child's condition?
A. Hemoglobin electrophoresis
B. RBC folate, iron, and B12 levels
, C. Reticulocyte levels
D. Serum lead levels - CorreCt Answers -B. RBC folate, iron, and B12 levels
A toddler who presents with anemia and reticulocytopenia has a history of a
gradual decrease in energy and increase in pallor beginning after a recent
viral infection. How will the primary care pediatric nurse practitioner treat
this child?
A. Closely observe the child's symptoms and lab values.
B. Consult with a pediatric hematologist.
C. Prescribe supplemental iron for 4 to 6 months.
D. Refer for transfusions to correct the anemia. - CorreCt Answers -A.
Closely observe the child's symptoms and lab values.
The pediatric nurse practitioner provides primary care for a 30monthold
child
who has sickle cell anemia who has had one dose of 23valent pneumococcal
vaccine. Which is an appropriate action for health maintenance in this
child?
A. Administer an initial meningococcal vaccine.