Author Question: The nurse is caring for a child with aplastic anemia. Which of the following nursing diagnoses would ... (Read 51 times)

sdfghj · **on:** Jun 27, 2018

The nurse is caring for a child with aplastic anemia. Which of the following nursing diagnoses would be appropriate? Select all that apply.

a. Acute pain related to vaso-occlusion
b. Risk for infection related to inadequate sec-ondary defenses or immunosuppression
c. Ineffective protection related to thrombocytopenia
d. Ineffective tissue perfusion related to anemia

Question 2

What would be the nurse's best response to a parent with questions about her child's blood disorder?

a. That sounds pretty serious..
b. What did the physician tell you?
c. Blood diseases are transient, so there is no need to worry..
d. Your child will be tired for awhile and then be back to her old self..

nikmaaacs · **Reply #1 on:** Jun 27, 2018

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.