The nurse is assessing a child with suspected thalassemia. Which ...

[londonang]

The nurse is assessing a child with suspected thalassemia. Which of the following physical findings would the nurse expect to find during the examination?
 
  A) Dactylitis
  B) Frontal bossing
  C) Clubbing
  D) Spooning

Question 2

The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is providing discharge instructions about home care and safety recommendations to the boy and his parents.
 
  Which of the following responses indicates a need for further teaching? A) We should avoid aspirin and NSAIDs.
  B) He can resume football practice in 2 weeks.
  C) Swimming would be a great activity.
  D) Our son cannot take any antihistamines.

[SeanoH09]

Answer to Question 1

B
Response:
The nurse would expect to find skeletal deformities such as frontal or maxillary bossing. Dactylitis is associated with sickle cell anemia. Clubbing and spooning are associated with chronic decreases in oxygen supply.

Answer to Question 2

B
Response:
The nurse must emphasize to the parents that they need to prevent trauma by avoiding activities that may cause injury. Contact sports like football are not recommended. The other statements are correct.