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An acquired hemorrhagic disorder characterized by thrombocytopenia, purpura,
and NORMAL bone marrow. - ANSWER ✓ immune thrombocytopenia
acquired hemorrhagic syndrome characterized by uncontrolled formation and
deposition of fibrin thrombi and by the resulting consumption of clotting factors,
leading to uncontrolled bleeding. - ANSWER ✓ DIC
an X-linked autosomal recessive disorder, meaning that carrier females pass on the
defect to affected males - ANSWER ✓ hemophilia
hallmark sign of hemophilia - ANSWER ✓ swollen joints
Underproduction or dysfunction of Von Willebrand protein, which may result in a
corresponding deficiency of factor ________ - ANSWER ✓ VIII
Clinical manifestations of ______________ include epistaxis and prolonged
bleeding from minor injuries. - ANSWER ✓ Von Willebrand Disease
acquired bleeding disorder characterized by thrombocytopenia, a purpuric rash,
NORMAL bone marrow, and the absence of signs of other identifiable causes of
thrombocytopenia. - ANSWER ✓ Immune Thrombocytopenic Purpura (ITP)
Signs and symptoms of _____________ include prolonged bleeding and a low
platelets count. - ANSWER ✓ ITP
,goal for ITP is to restore the platelet count to greater than _____________/mm3, -
ANSWER ✓ 20,000
Infuse a full unit of blood over ____ hours maximum - ANSWER ✓ 4
what two steps to take if a reaction occurs while getting blood - ANSWER ✓ stop
infusion then flush
Use blood within _______ minutes of arrival - ANSWER ✓ 30
Which conditions can lead to anemia? (select all that apply)
a. Mild concussion
b. Liver laceration
c. Iron-deficient diet
d. Closed humerus fracture
e. Heavy menstrual bleeding - ANSWER ✓ b. Liver laceration
c. Iron-deficient diet
e. Heavy menstrual bleeding
During the medication reconciliation for a patient with Von Willebrand disease
(vWD), the nurse notes the child has been taking ibuprofen as needed for
headaches. Which action is most important for the nurse to take?
a. Continue to give the ibuprofen as needed
b. Obtain an order for aspirin, as needed, for headache
c. Determine the frequency and severity of the patient's headaches
d. Provide additional education to the caregivers about avoiding medications that
affect platelet function. - ANSWER ✓ d. Provide additional education to the
caregivers about avoiding medications that affect platelet function. (acetaminophen
would be better)
· A patient with iron deficiency anemia (IDA) is preparing for discharge from the
emergency department. During discharge teaching, which statement made by the
parent indicates teaching has been effective?
a. "Iron helps my child's red blood cells (RBCs) maintain a normal shape."
b. "Iron helps my child's body make healthy RBCs with hemoglobin."
c. "It's important that I include iron in my child's diet to prevent excessive
bleeding."
, d. "Even though my child's iron is low now, it will increase with age, and the
RBCs will return to normal." - ANSWER ✓ b. "Iron helps my child's body make
healthy RBCs with hemoglobin."
· The pediatric nurse is caring for a patient with beta-thalassemia who has been
transferred to the unit for treatment. Before admission, the patient was
experiencing complications of the disorder. Which action should the nurse take in
initiating the treatment process?
a. Administer desferoxamine as ordered.
b. Administer prophylactic antibiotics as ordered.
c. Prepare the patient for a possible blood transfusion if ordered.
d. Educate the patient and family about the need for a bone marrow transplant. -
ANSWER ✓ c. Prepare the patient for a possible blood transfusion if ordered.
If a child has any of these hematologic disorders don't... - ANSWER ✓ Give
aspirin or ibuprofen
Play contact sports
If a child has thrombocytopenia below a platelet count of ___________ is
concerning - ANSWER ✓ 150,000
Hemophilia vs sickle cell vs leukemia
Which has bruising, bleeding, pain, fever, high WBC - ANSWER ✓ Hemophilia-
bruising, bleeding, pain
Sickle cell- fever, high WBC, pain
Leukemia- fever, bruising, bleeding, high WBC, pain
If we have an injury to the ____________ lobe, we will have an issue with
thinking, memory, behavior and movement - ANSWER ✓ frontal
Damage to the cerebellum would cause balance and coordination problems -
ANSWER ✓ cerrebellum
depressed cerebral function; inability to respond to sensory stimuli - ANSWER ✓
unconsciousness
state of unconsciousness from which cannot be aroused, even with painful stimuli
- ANSWER ✓ coma