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

[ts19998]

The nurse is assessing a child with suspected thalassemia. What would the nurse expect to assess?
 
  A) Dactylitis
  B) Frontal bossing
  C) Presence of clubbing
  D) Presence of spooning

Question 2

The nurse is caring for a child recently diagnosed with glucose-6-phosphate dehydrogenase (G6PD) deficiency. The nurse is teaching the parents about triggers that may result in oxidative stress. Which response indicates a need for further teaching?
 
  A) I doubt he will ever eat fava beans, but they could trigger hemolysis.
  B) He must avoid exposure to naphthalene, an agent found in mothballs.
  C) He must never take methylene blue for a urinary tract infection.
  D) My son can never take penicillin for an infection.

[brittanywood]

Answer to Question 1

Ans: B
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

Ans: D
The nurse should emphasize that penicillin is not a known trigger that may result in oxidative stress and hemolysis. Fava beans, naphthalene, and methylene blue can trigger oxidative stress.

[ts19998]

TYSM

[Jossy]

Thanks for the timely response, appreciate it