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. What do mortality statistics describe?

A. Disease occurring regularly within a geographic location
B. The number of individuals who have died over a specific period
C. The prevalence of specific illness in the population at a particular time
D. Disease occurring in more than the number of expected cases in a community

Correct answer: B

Rationale: Mortality statistics describe the number of individuals who have died over a specific period, providing insight into public health concerns.

3. Which is a consequence of the physical punishment of children, such as spanking?

A. The psychological impact is usually minimal.
B. The child's development of reasoning increases.
C. Children rarely become accustomed to spanking.
D. Misbehavior is likely to occur when parents are not present.

Correct answer: D

Rationale: Physical punishment, such as spanking, may result in children misbehaving when parents are not present, as it does not teach appropriate behavior or self-regulation.

4. In teaching parents about appropriate pacifier selection, the nurse should recommend which characteristic?

A. Easily grasped handle
B. Detachable shield for cleaning
C. Soft, pliable material
D. Ribbon or string to secure to clothing

Correct answer: A

Rationale: A pacifier with an easily grasped handle is safer and more convenient for the infant to use without the risk of choking hazards that detachable parts might pose.

5. What is the primary treatment for Kawasaki disease?

A. Corticosteroids
B. Intravenous immunoglobulin
C. Antibiotics
D. Antivirals

Correct answer: B

Rationale: The correct answer is B, Intravenous immunoglobulin (IVIG). IVIG is the primary treatment for Kawasaki disease, an acute vasculitis that mainly affects children under 5 years old. Early administration of IVIG is crucial as it helps reduce the risk of coronary artery aneurysms, which is the most serious complication of Kawasaki disease. Corticosteroids (Choice A) are not the primary treatment for Kawasaki disease and are not recommended due to potential adverse effects. Antibiotics (Choice C) are not indicated for the treatment of Kawasaki disease as it is not caused by a bacterial infection. Antivirals (Choice D) are also not part of the standard treatment for Kawasaki disease, as it is not caused by a viral infection.