BBA 200MATTERNITY_5th_EDITION> Havard University

1. Question Name: 0001 Type: MC Objective: CH 43: Hematologic and Immunologic Dysfunction Item Bank: Perry Maternal Child Nursing Care 5th edition An accurate description of anemia is: A. Increased blood viscosity. B ...

1. Question Name: 0001 Type: MC Objective: CH 43: Hematologic and Immunologic Dysfunction Item Bank: Perry Maternal Child Nursing Care 5th edition An accurate description of anemia is: A. Increased blood viscosity. B. Depressed hematopoietic system. C. Presence of abnormal hemoglobin. * D. Decreased oxygen-carrying capacity of blood. Correct Answer: D Explanation/Rationale: ANS: D Anemia is a condition in which the number of red blood cells or hemoglobin concentration is reduced below the normal values for age. This results in a decreased oxygen-carrying capacity of blood. Increased blood viscosity is usually a function of too many cells or of dehydration, not of anemia. A depressed hematopoietic system or abnormal hemoglobin can contribute to anemia, but the definition depends on the deceased oxygen-carrying capacity of the blood. PTS: 1 DIF: Cognitive Level: Comprehension REF: 1362 OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 09/12/13 09:34:17 Date Modified: 09/12/13 09:34:17 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 2. Question Name: 0002 Type: MC Objective: CH 43: Hematologic and Immunologic Dysfunction Item Bank: Perry Maternal Child Nursing Care 5th edition Several blood tests are ordered for a preschool child with severe anemia. She is crying and upset because she remembers the venipuncture done at the clinic 2 days ago. The nurse should explain that:A. Venipuncture discomfort is very brief. B. Only one venipuncture will be needed. * C. Topical application of local anesthetic can eliminate venipuncture pain. D. Most blood tests on children require only a finger puncture because a small amount of blood is needed. Correct Answer: C Explanation/Rationale: ANS: C Preschool children are very concerned about both pain and the loss of blood. When preparing the child for venipuncture, a topical anesthetic will be used to eliminate any pain. This is a very traumatic experience for preschool children. They are concerned about their bodily integrity. A local anesthetic should be used, and a bandage should be applied to maintain bodily integrity. A promise that only one venipuncture will be needed should not be made in case multiple attempts are required. Both finger punctures and venipunctures are traumatic for children. Both require preparation. Question Name: 0011 Type: MC Objective: CH 43: Hematologic and Immunologic Dysfunction Item Bank: Perry Maternal Child Nursing Care 5th edition A school-age child is admitted in vaso-occlusive sickle cell crisis. The child’s care should include: A. Correction of acidosis. * B. Adequate hydration and pain management. C. Pain management and administration of heparin. D. Adequate oxygenation and replacement of factor VIII. Correct Answer: B Explanation/Rationale: ANS: B The management of crises includes adequate hydration, minimizing energy expenditures, pain management, electrolyte replacement, and blood component therapy if indicated. The acidosis will be corrected as the crisis is treated. Heparin and factor VIII are not indicated in the treatment of vaso-occlusive sickle cell crisis. Oxygen may prevent further sickling, but it is not effective in reversing sickling because it cannot reach the clogged blood vessels. PTS: 1 DIF: Cognitive Level: Analysis REF: 1369 OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 09/12/13 09:34:17 Date Modified: 09/12/13 09:34:17 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.0PTS: 1 DIF: Cognitive Level: Application ....