Chapter 28 The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System - Leifer Maternity and Pediatric Nursing

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Chapter 28 The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System - Leifer Maternity and Pediatric Nursing

1. The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food would the nurse emphasize as being a rich source of iron? a. An egg white b. Cream of Wheat c. A banana d. A carrot ANS: B Good nutritional sources of iron include boiled egg yolk, liver, green leafy vegetables, Cream of Wheat, dried fruits, beans, nuts, and whole-grain breads. DIF: Cognitive Level: Comprehension REF: Page 640 TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 2. Which statement by a mother may indicate a cause for her 9-month-olds iron deficiency anemia? a. Formula is so expensive. We switched to regular milk right away. b. She almost never drinks water. c. She doesnt really like peaches or pears, so we stick to bananas for fruit. d. I give her a piece of bread now and then. She likes to chew on it. ANS: A Because cows milk contains very little iron, infants should drink iron-fortified formula for the first year of life. DIF: Cognitive Level: Application REF: Page 640 TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Evaluation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 3. What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric unit? a. With milk b. With orange juice c. With water d. On a full stomach ANS: B Vitamin C aids in the absorption of iron, whereas food and milk interfere with the absorption of iron. DIF: Cognitive Level: Application REF: Page 640 TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies 4. What is the result of a deficiency of factor IX? a. Thalassemia b. Idiopathic thrombocytopenic purpura c. Hemophilia A d. Christmas disease ANS: D Christmas disease, or hemophilia B, is caused by the deficiency of factor IX. DIF: Cognitive Level: Knowledge REF: Page 646 TOP: Christmas Disease KEY: Nursing Process Step: Implementation

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