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BURNS CHAPTER27 HEMOTOGICAL
DISORDERS VERSONAL AND
COMPREHENSIVE TEXT WITH CORRECT
ANSWERS
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What will the nurse practitioner do?

A
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B
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C
...


D
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- CorreCt Answers -A
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The primary care pediatric nurse practitioner sees a 12monthold infant who
is being fed goat's milk and a vegetarian diet
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Which tests will the
nurse practitioner order to evaluate this child's condition?

A
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RBC folate, iron, and B12 levels

C
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Serum lead levels - CorreCt Answers -B
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How will the primary care pediatric nurse practitioner treat
this child?

A
...


B
...


C
...


D
...
- CorreCt Answers -A
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The pediatric nurse practitioner provides primary care for a 30monthold
child
who has sickle cell anemia who has had one dose of 23valent pneumococcal
vaccine
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Administer an initial meningococcal vaccine
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Begin folic acid dietary supplementation
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Decrease the dose of penicillin V prophylaxis
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Give a second dose of 23valent pneumococcal vaccine
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Administer an initial meningococcal vaccine
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5°C
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What will the primary care pediatric nurse practitioner do?

A
...


B
...


C
...


D
...
- CorreCt Answers -A
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A schoolage child comes to the clinic for evaluation of excessive bruising
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The physical exam is negative for
hepatosplenomegaly and lymphadenopathy
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How will the nurse
practitioner manage this child's condition?

A
...


B
...


C
...


D
...
- CorreCt Answers -D
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The primary care pediatric nurse practitioner is examining a 5yearold child
who has had recurrent fevers, bone pain, and a recent loss of weight
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A complete blood count shows thrombocytopenia, anemia, and an elevated
white cell blood count
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bone marrow biopsy
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corticosteroids and IVIG
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hemoglobin electrophoresis
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immunoglobulin testing
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bone marrow biopsy
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a decreased eosinophil count
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a decreased lymphocyte count
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an elevated monocyte count
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an elevated neutrophil count
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an elevated
neutrophil count
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5 g/dL
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The primary care pediatric nurse
practitioner suspects

A
...


B
...


C
...


D
...
- CorreCt Answers -B
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3
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5
g/dL and a hematocrit of 31%
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Prescribe elemental iron and recheck labs in 1 month
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Reassure the parent that this represents mild anemia
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Recommend a diet high in ironrich foods
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Refer to a hematologist for further evaluation
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Prescribe elemental iron and recheck labs in 1 month
...
The primary care pediatric nurse practitioner is managing care for a child
diagnosed with irondeficiency anemia who had an initial hemoglobin of 8
...
The child's current lab work
reveals elevations in Hgb/Hct and reticulocytes with a hemoglobin of 10
...
What is the next step in management of this
patient?

A
...


B
...


C
...


D
...
- CorreCt Answers -A
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5
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To ensure that the infant gets adequate amounts
of iron, what will the nurse practitioner recommend?

A
...
Elemental iron supplementation of 3 mg/kg/day for the duration of
breastfeeding

C
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Offering ironfortified formula to ensure adequate iron intake - CorreCt
Answers -A
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What will the nurse practitioner monitor in this child?

A
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Leukoencephalopathy

C
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Peripheral neuropathy and hearing loss - CorreCt Answers -B

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