This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A child with severe anemia requires a unit of red blood cells (RBCs). The nurse explains to the ... (Read 63 times)

cdr_15

  • Hero Member
  • *****
  • Posts: 546
on: Jun 28, 2018
A child with severe anemia requires a unit of red blood cells (RBCs). The nurse explains to the child that the transfusion is necessary for which reason?
 
  a. Allow her parents to come visit her.
  b. Fight the infection that she now has.
  c. Increase her energy so she will not be so tired.
  d. Help her body stop bleeding by forming a clot (scab).

Question 2

A mother states that she brought her child to the clinic because the 3-year-old girl was not keeping up with her siblings. During physical assessment, the nurse notes that the child has pale skin and conjunctiva and has muscle weakness.
 
  The hemoglobin on admission is 6.4 g/dl. After notifying the practitioner of the results, what nursing priority intervention should occur next?
  a. Reduce environmental stimulation to prevent seizures.
  b. Have the laboratory repeat the analysis with a new specimen.
  c. Minimize energy expenditure to decrease cardiac workload.
  d. Administer intravenous fluids to correct the dehydration.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

aliotak

  • Sr. Member
  • ****
  • Posts: 326
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
The indication for RBC transfusion is risk of cardiac decompensation. When the number of circulating RBCs is increased, tissue hypoxia decreases, cardiac function is improved, and the child will have more energy. Parental visiting is not dependent on transfusion. The decrease in tissue hypoxia will minimize the risk of infection. There is no evidence that the child is currently infected. Forming a clot is the function of platelets.

Answer to Question 2

ANS: C
The child has a critically low hemoglobin value. The expected range is 11.5 to 15.5 g/dl. When the oxygen-carrying capacity of the blood decreases slowly, the child is able to compensate by increasing cardiac output. With the increasing workload of the heart, additional stress can lead to cardiac failure. Reduction of environmental stimulation can help minimize energy expenditure, but seizures are not a risk. A repeat hemoglobin analysis is not necessary. The child does not have evidence of dehydration. If intravenous fluids are given, they can further dilute the circulating blood volume and increase the strain on the heart.


cdr_15

  • Member
  • Posts: 546
Reply 2 on: Jun 28, 2018
:D TYSM

nguyenhoanhat

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

Street names for barbiturates include reds, red devils, yellow jackets, blue heavens, Christmas trees, and rainbows. They are commonly referred to as downers.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

The Centers for Disease Control and Prevention (CDC) was originally known as the Communicable Disease Center, which was formed to fight malaria. It was originally headquartered in Atlanta, Georgia, since the Southern states faced the worst threat from malaria.

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

The direction of plant cell expansion is controlled by microfibrils and microtubules. Plant cells en The direction of plant cell expansion is controlled by microfibrils and microtubules. Plant cells en
Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r
Frozen human iPS cells Frozen human iPS cells
Prokaryotic vs. Eukaryotic cells Prokaryotic vs. Eukaryotic cells
Switching of mating type in haploid yeast cells Switching of mating type in haploid yeast cells
What “race” are these two Brazilians? Is the child’s “race” different from her mother’s ... What “race” are these two Brazilians? Is the child’s “race” different from her mother’s ...
Video: Protein catabolism (Krebs cycle) and Protein anabolism (protein synthesis)

For a complete list of videos, visit our video library