9/14/26, 12:38 AM pediatric exam 4 Flashcards | Quizlet
Galen College of Nursing-Louisville NUR 254
pediatric exam 4
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Terms in this set (64)
The nurse analyzes the laboratory results of a child with 4
hemophilia. The nurse understands that which result will Rationale:Hemophilia refers to a group of bleeding disorders resulting from a
most likely be abnormal in this child? deficiency of specific coagulation proteins. Results of tests that measure platelet
function are normal; results of tests that measure clotting factor function may be
1.Platelet count abnormal. Abnormal laboratory results in hemophilia indicate a prolonged partial
2.Hematocrit level thromboplastin time. The platelet count, hemoglobin level, and hematocrit level
3.Hemoglobin level are normal in hemophilia
4.Partial thromboplastin time
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,9/14/26, 12:38 AM pediatric exam 4 Flashcards | Quizlet
The nurse is providing home care instructions to the 3
parents of a 10-year-old child with hemophilia. Which Rationale:Hemophilia refers to a group of bleeding disorders resulting from a
sport activity should the nurse suggest for this child? deficiency of specific coagulation proteins. Children with hemophilia need to
avoid contact sports and to take precautions such as wearing elbow and knee
1.Soccer pads and helmets with other sports. The safe activity for them is swimming.
2.Basketball
3.Swimming
4.Field hockey
The clinic nurse instructs parents of a child with sickle cell 4
anemia about the precipitating factors related to sickle Rationale:Sickle cell crises are acute exacerbations of the disease, which vary
cell crisis. Which, if identified by the parents as a considerably in severity and frequency; these include vaso-occlusive crisis,
precipitating factor, indicates the need for further splenic sequestration, hyperhemolytic crisis, and aplastic crisis. Sickle cell crisis
instruction? may be precipitated by infection, dehydration, hypoxia, trauma, or physical or
emotional stress. The mother of a child with sickle cell disease should encourage
1.Stress fluid intake of 1½ to 2 times the daily requirement to prevent dehydration.
2.Trauma
3.Infection
4.Fluid overload
A 10-year-old child with hemophilia A has slipped on the 3
ice and bumped his knee. The nurse should prepare to Rationale:Hemophilia refers to a group of bleeding disorders resulting from a
administer which prescription? deficiency of specific coagulation proteins. The primary treatment is replacement
of the missing clotting factor; additional medications, such as agents to relieve
1.Injection of factor X pain, may be prescribed depending on the source of bleeding from the disorder. A
2.Intravenous infusion of iron child with hemophilia A is at risk for joint bleeding after a fall. Factor VIII would be
3.Intravenous infusion of factor VIII prescribed intravenously to replace the missing clotting factor and minimize the
4.Intramuscular injection of iron using the Z-track method bleeding. Factor X and iron are not used to treat children with hemophilia A.
The nurse is instructing the parents of a child with iron 2
deficiency anemia regarding the administration of a liquid Rationale:In iron deficiency anemia, iron stores are depleted, resulting in a
oral iron supplement. Which instruction should the nurse decreased supply of iron for the manufacture of hemoglobin in red blood cells.
tell the parents? An oral iron supplement should be administered through a straw or medicine
dropper placed at the back of the mouth because the iron stains the teeth. The
1.Administer the iron at mealtimes. parents should be instructed to brush or wipe the child's teeth or have the child
2.Administer the iron through a straw. brush the teeth after administration. Iron is administered between meals because
3.Mix the iron with cereal to administer. absorption is decreased if there is food in the stomach. Iron requires an acid
4.Add the iron to formula for easy administration. environment to facilitate its absorption in the duodenum. Iron is not added to
formula or mixed with cereal or other food items.
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, 9/14/26, 12:38 AM pediatric exam 4 Flashcards | Quizlet
Laboratory studies are performed for a child suspected to 4
have iron deficiency anemia. The nurse reviews the Rationale:In iron deficiency anemia, iron stores are depleted, resulting in a
laboratory results, knowing that which result indicates this decreased supply of iron for the manufacture of hemoglobin in red blood cells.
type of anemia? The results of a complete blood cell count in children with iron deficiency anemia
show decreased hemoglobin levels and microcytic and hypochromic red blood
1.Elevated hemoglobin level cells. The red blood cell count is decreased. The reticulocyte count is usually
2.Decreased reticulocyte count normal or slightly elevated.
3.Elevated red blood cell count
4.Red blood cells that are microcytic and hypochromic
The nurse is monitoring a child for bleeding after surgery 2
for removal of a brain tumor. The nurse checks the head Rationale:Colorless drainage on the dressing in a child after craniotomy indicates
dressing for the presence of blood and notes a colorless the presence of cerebrospinal fluid and should be reported to the HCP
drainage on the back of the dressing. Which intervention immediately. Options 1, 3, and 4 are not the immediate nursing intervention
should the nurse perform immediately? because they do not address the need for immediate intervention to prevent
complications.
1.Reinforce the dressing.
2.Notify the health care provider (HCP).
3.Document the findings and continue to monitor.
4.Circle the area of drainage and continue to monitor.
The mother of a 4-year-old child tells the pediatric nurse 1
that the child's abdomen seems to be swollen. During Rationale:Wilms' tumor is the most common intraabdominal and kidney tumor of
further assessment, the mother tells the nurse that the childhood. If Wilms' tumor is suspected, the tumor mass should not be palpated by
child is eating well and that the activity level of the child the nurse. Excessive manipulation can cause seeding of the tumor and spread of
is unchanged. The nurse, suspecting the possibility of the cancerous cells. Hematuria, fever, and hypertension are clinical manifestations
Wilms' tumor, should avoid which during the physical associated with Wilms' tumor.
assessment?
1.Palpating the abdomen for a mass
2.Assessing the urine for the presence of hematuria
3.Monitoring the temperature for the presence of fever
4.Monitoring the blood pressure for the presence of
hypertension
The nurse provides a teaching session to the nursing staff 2
regarding osteosarcoma. Which statement by a member Rationale:Osteosarcoma is the most common bone cancer in children. Cancer
of the nursing staff indicates a need for information? usually is found in the metaphysis of long bones, especially in the lower
extremities, with most tumors occurring in the femur. Osteosarcoma is manifested
1."The femur is the most common site of this sarcoma." clinically by progressive, insidious, and intermittent pain at the tumor site. By the
2."The child does not experience pain at the primary time these children receive medical attention, they may be in considerable pain
tumor site." from the tumor. Options 1, 3, and 4 are accurate regarding osteosarcoma.
3."Limping, if a weight-bearing limb is affected, is a clinical
manifestation."
4."The symptoms of the disease in the early stage are
almost always attributed to normal growing pains."
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Galen College of Nursing-Louisville NUR 254
pediatric exam 4
Leave the first rating
Play your way to mastery with fun games
Match Blocks Charms NEW
Students also studied
Flashcard sets Study guides
Pediatric Exam 4 265 Exam 4 study questions Pediatrics - Hematology/Oncology Pediatr
53 terms 50 terms Teacher 80 terms Teacher
Orange_neroli Preview jade_sloan Preview CarlosCorpuz Preview sum
Terms in this set (64)
The nurse analyzes the laboratory results of a child with 4
hemophilia. The nurse understands that which result will Rationale:Hemophilia refers to a group of bleeding disorders resulting from a
most likely be abnormal in this child? deficiency of specific coagulation proteins. Results of tests that measure platelet
function are normal; results of tests that measure clotting factor function may be
1.Platelet count abnormal. Abnormal laboratory results in hemophilia indicate a prolonged partial
2.Hematocrit level thromboplastin time. The platelet count, hemoglobin level, and hematocrit level
3.Hemoglobin level are normal in hemophilia
4.Partial thromboplastin time
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,9/14/26, 12:38 AM pediatric exam 4 Flashcards | Quizlet
The nurse is providing home care instructions to the 3
parents of a 10-year-old child with hemophilia. Which Rationale:Hemophilia refers to a group of bleeding disorders resulting from a
sport activity should the nurse suggest for this child? deficiency of specific coagulation proteins. Children with hemophilia need to
avoid contact sports and to take precautions such as wearing elbow and knee
1.Soccer pads and helmets with other sports. The safe activity for them is swimming.
2.Basketball
3.Swimming
4.Field hockey
The clinic nurse instructs parents of a child with sickle cell 4
anemia about the precipitating factors related to sickle Rationale:Sickle cell crises are acute exacerbations of the disease, which vary
cell crisis. Which, if identified by the parents as a considerably in severity and frequency; these include vaso-occlusive crisis,
precipitating factor, indicates the need for further splenic sequestration, hyperhemolytic crisis, and aplastic crisis. Sickle cell crisis
instruction? may be precipitated by infection, dehydration, hypoxia, trauma, or physical or
emotional stress. The mother of a child with sickle cell disease should encourage
1.Stress fluid intake of 1½ to 2 times the daily requirement to prevent dehydration.
2.Trauma
3.Infection
4.Fluid overload
A 10-year-old child with hemophilia A has slipped on the 3
ice and bumped his knee. The nurse should prepare to Rationale:Hemophilia refers to a group of bleeding disorders resulting from a
administer which prescription? deficiency of specific coagulation proteins. The primary treatment is replacement
of the missing clotting factor; additional medications, such as agents to relieve
1.Injection of factor X pain, may be prescribed depending on the source of bleeding from the disorder. A
2.Intravenous infusion of iron child with hemophilia A is at risk for joint bleeding after a fall. Factor VIII would be
3.Intravenous infusion of factor VIII prescribed intravenously to replace the missing clotting factor and minimize the
4.Intramuscular injection of iron using the Z-track method bleeding. Factor X and iron are not used to treat children with hemophilia A.
The nurse is instructing the parents of a child with iron 2
deficiency anemia regarding the administration of a liquid Rationale:In iron deficiency anemia, iron stores are depleted, resulting in a
oral iron supplement. Which instruction should the nurse decreased supply of iron for the manufacture of hemoglobin in red blood cells.
tell the parents? An oral iron supplement should be administered through a straw or medicine
dropper placed at the back of the mouth because the iron stains the teeth. The
1.Administer the iron at mealtimes. parents should be instructed to brush or wipe the child's teeth or have the child
2.Administer the iron through a straw. brush the teeth after administration. Iron is administered between meals because
3.Mix the iron with cereal to administer. absorption is decreased if there is food in the stomach. Iron requires an acid
4.Add the iron to formula for easy administration. environment to facilitate its absorption in the duodenum. Iron is not added to
formula or mixed with cereal or other food items.
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, 9/14/26, 12:38 AM pediatric exam 4 Flashcards | Quizlet
Laboratory studies are performed for a child suspected to 4
have iron deficiency anemia. The nurse reviews the Rationale:In iron deficiency anemia, iron stores are depleted, resulting in a
laboratory results, knowing that which result indicates this decreased supply of iron for the manufacture of hemoglobin in red blood cells.
type of anemia? The results of a complete blood cell count in children with iron deficiency anemia
show decreased hemoglobin levels and microcytic and hypochromic red blood
1.Elevated hemoglobin level cells. The red blood cell count is decreased. The reticulocyte count is usually
2.Decreased reticulocyte count normal or slightly elevated.
3.Elevated red blood cell count
4.Red blood cells that are microcytic and hypochromic
The nurse is monitoring a child for bleeding after surgery 2
for removal of a brain tumor. The nurse checks the head Rationale:Colorless drainage on the dressing in a child after craniotomy indicates
dressing for the presence of blood and notes a colorless the presence of cerebrospinal fluid and should be reported to the HCP
drainage on the back of the dressing. Which intervention immediately. Options 1, 3, and 4 are not the immediate nursing intervention
should the nurse perform immediately? because they do not address the need for immediate intervention to prevent
complications.
1.Reinforce the dressing.
2.Notify the health care provider (HCP).
3.Document the findings and continue to monitor.
4.Circle the area of drainage and continue to monitor.
The mother of a 4-year-old child tells the pediatric nurse 1
that the child's abdomen seems to be swollen. During Rationale:Wilms' tumor is the most common intraabdominal and kidney tumor of
further assessment, the mother tells the nurse that the childhood. If Wilms' tumor is suspected, the tumor mass should not be palpated by
child is eating well and that the activity level of the child the nurse. Excessive manipulation can cause seeding of the tumor and spread of
is unchanged. The nurse, suspecting the possibility of the cancerous cells. Hematuria, fever, and hypertension are clinical manifestations
Wilms' tumor, should avoid which during the physical associated with Wilms' tumor.
assessment?
1.Palpating the abdomen for a mass
2.Assessing the urine for the presence of hematuria
3.Monitoring the temperature for the presence of fever
4.Monitoring the blood pressure for the presence of
hypertension
The nurse provides a teaching session to the nursing staff 2
regarding osteosarcoma. Which statement by a member Rationale:Osteosarcoma is the most common bone cancer in children. Cancer
of the nursing staff indicates a need for information? usually is found in the metaphysis of long bones, especially in the lower
extremities, with most tumors occurring in the femur. Osteosarcoma is manifested
1."The femur is the most common site of this sarcoma." clinically by progressive, insidious, and intermittent pain at the tumor site. By the
2."The child does not experience pain at the primary time these children receive medical attention, they may be in considerable pain
tumor site." from the tumor. Options 1, 3, and 4 are accurate regarding osteosarcoma.
3."Limping, if a weight-bearing limb is affected, is a clinical
manifestation."
4."The symptoms of the disease in the early stage are
almost always attributed to normal growing pains."
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