the nurse is caring for a child with beta thalassemia which child is in a group most at risk for beta thalassemia

ATI RN

RN Nursing Care of Children 2019 With NGN

1. The nurse is caring for a child with Beta Thalassemia. Which child is in a group most at risk for Beta Thalassemia?

A. A three-year-old girl of Mediterranean descent.
B. A ten-year-old boy of Hispanic descent.
C. A young girl of African descent.
D. A baby of European descent.

Correct answer: A

Rationale: Corrected Rationale: Beta Thalassemia is most common in individuals of Mediterranean descent, such as those from Italy, Greece, and the Middle East. This genetic disorder affects hemoglobin production and can lead to severe anemia. Choice A is the correct answer as individuals of Mediterranean descent are at the highest risk for Beta Thalassemia. Choices B, C, and D are incorrect as they do not belong to the population group most at risk for this genetic disorder.

2. The nurse understands that blocks to therapeutic communication include what? (Select all that apply.)

A. Socializing
B. All are applicable
C. Using clichés
D. Defending a situation

Correct answer: B

Rationale: Socializing, using clichés, and defending a situation are all barriers to effective therapeutic communication. Silence is a useful tool in therapeutic communication.

3. What problem is most often associated with myelomeningocele?

A. Biliary atresia
B. Hydrocephalus
C. Craniostenosis
D. Tracheoesophageal fistula

Correct answer: B

Rationale: Hydrocephalus is the most commonly associated problem with myelomeningocele, present in 80% to 90% of affected children. Biliary atresia and tracheoesophageal fistula are not typically associated with myelomeningocele. Craniostenosis refers to the premature closing of cranial sutures and is not a common issue seen with myelomeningocele.

4. The mother of a 6-month-old infant has returned to work and is expressing breast milk to be frozen. She asks for directions on how to safely thaw the breast milk in the microwave. What should the nurse recommend?

A. Heat only 10 oz or more.
B. Do not thaw or heat breast milk in a microwave oven.
C. Always leave the bottle top uncovered to allow heat to escape.
D. Shake the bottle vigorously for at least 30 seconds after heating.

Correct answer: B

Rationale: Thawing or heating breast milk in a microwave is not recommended because it can create hot spots that may burn the infant and destroy essential nutrients.

5. Which is an accurate description of homosexual (or gay-lesbian) families?

A. A nurturing environment is lacking.
B. The children become homosexual like their parents.
C. The stability needed to raise healthy children is lacking.
D. The quality of parenting is equivalent to that of nongay parents.

Correct answer: D

Rationale: Research shows that the quality of parenting in homosexual families is equivalent to that in heterosexual families, and children thrive in nurturing environments provided by same-sex parents.