When caring for a child diagnosed with aplastic anemia, the nurse ...

[serike]

When caring for a child diagnosed with aplastic anemia, the nurse would educate the parents regarding which common symptoms?
 
  1. Nausea and vomiting
   2. Runny nose and cough
   3. Fatigue and fever
   4. Cyanosis and bradycardia

Question 2

The nurse administered morphine intravenously to a four-year-old postoperative patient. Thirty minutes later, the nurse assesses the child. Which assessment finding requires further evaluation?
 
  1. Pulse decreased from 136 to 104
  2. Blood pressure dropped from 110/72 to 90/55
  3. Respiratory rate went from 42 to 16
  4. Child pulls away from nurse who wants to assess surgical site

[izzat]

Answer to Question 1

3
Rationale:
1. Nausea and vomiting are not symptoms of aplastic anemia.
2. Aplastic anemia is not associated with upper respiratory infections.
3. Fatigue secondary to anemia and fever related to infection secondary to neutropenia are common symptoms.
4. The child would exhibit tachycardia rather than bradycardia, and there is no reason for cyanosis.

Answer to Question 2

3
Rationale 1: The normal pulse rate for children two to five years of age is between 70 and 120.
Rationale 2: 90/55 is a normal finding for this age group.
Rationale 3: This respiratory rate is on the low side for the age group and requires further evaluation to determine if the child's respirations are being depressed.
Rationale 4: This is normal behavior for a four-year-old child.
Global Rationale:

[serike]

Excellent

[marict]

TYSM