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Author Question: A child is seen in the health care clinic for complaints of fever. On data collection, the nurse ... (Read 69 times)

TFauchery

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A child is seen in the health care clinic for complaints of fever. On data collection, the nurse notes that the child is pale, is tachycardic, and has petechiae. Aplastic anemia is suspected.
 
  Which of the following diagnostic tests will confirm the diagnosis of aplastic anemia? 1. Platelet count
  2. Granulocyte count
  3. Red blood cell count
  4. Bone marrow biopsy

Question 2

The nurse is providing instructions to the parent of a child with iron deficiency anemia about the administration of a liquid oral iron supplement.
 
  Which of the following statements, if made by the parent, indicates an understanding of the administration of this medication? 1. I should give the iron with food.
  2. I can mix the iron with cereal to give it.
  3. I should add the iron to the formula in the baby's bottle.
  4. I should use a medicine dropper and place the iron near the back of the throat.



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Sarahjh

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Answer to Question 1

4

Rationale: Although the diagnosis of aplastic anemia may be suspected from the child's history and the results of a complete blood count (CBC), a bone marrow biopsy must be performed to confirm the diagnosis.

Answer to Question 2

4

Rationale: Oral iron supplement should be administered through a straw or medicine dropper placed at the back of the mouth because it will stain the teeth. The parents should be instructed to brush or wipe the teeth after administration. Iron is administered between meals because absorption is decreased if there is food in the stomach. Iron requires an acidic environment to facilitate its absorption in the duodenum.





 

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