Answer to Question 1
B, C, D
Risk for infection, ineffective protection, and ineffective tissue perfusion are appropriate nursing diagnoses for the nurse planning care for a child with aplastic anemia. Aplastic anemia is a condition in which the bone marrow ceases production of the cells it normally manufactures, resulting in pancytopenia. The child will have varying degrees of the disease depending on how low the values are for absolute neutrophil count (affecting the body's response to infection), platelet count (putting the child at risk for bleeding), and absolute reticulocyte count (causing the child to have anemia). Acute pain related to vaso-occlusion is an appropriate nursing diagnosis for sickle cell anemia for the child in vaso-occlusive crisis, but it is not applicable to a child with aplastic anemia.
Answer to Question 2
B
Providing the parent with an opportunity to express what she was told by the physician allows the nurse to assess the parent's understanding. Stating that the condition sounds serious may increase their anxiety. Minimizing the parent's concern is inappropriate. The nurse needs to assess the parent's knowledge before teaching about the disease.
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