Heme/Immune Flashcards
1
Q
A child with a new diagnosis of aplastic anemia is admitted for tachycardia, irritability, bruising, and pallor. The nurse anticipates early treatment of this patient will involve A. bone marrow biopsy B. plasmapheresis C. blood transfusion D. hemodialysis
A
C. blood transfusion
2
Q
A 13-year-old patient is admitted from a clinic for grossly abnormal hematologic test results. White blood cell count is 201,000/mm3. The child has experienced cough, sore throat, fever, and fatigue for 2 weeks. Treatment will most likely consist of A. exchange transfusion B. leukophoresis C. packed red cell transfusion D. antileukemic therapy
A
D. antileukemic therapy
3
Q
An appropriate transfusion guideline for the coagulopathic child with end-stage liver failure is:
A. if bleeding is absent, hold platelet transfusion until the count is less than or equal to 10,000/mm3.
B. transfuse 1 un of FFP before invasive procedures if the PT-INR is less than 1.5
C. administer recombinant factor Vlla if the patient’s PT-INR is greater than or equal to 4
D. transfuse platelets whenever the platelet level is less than or equal to 50,000/mm3
A
A. If bleeding is absent, hold plately transfusion until the count is less than or equal to 10,000/mm3.
4
Q
A child with a tunneled central line is admitted for treatment of acute lymphocytic leukemia. The patient is febrile, neutropenic, and is vomiting. The most likely etiology of this patient's current condition is A. leukemia relapse B. a bacterial infection C. a viral infection D. chemotherapy toxicity
A
B. a bacterial infection
5
Q
A child presents with a maculopapular rash, diarrhea, anorexia, nausea, vomiting, and elevated liver enzymes. Medical history includes a liver transplant 2 months ago. These findings suggest which of the following conditions? A. Surgical site infectino B. Acute cholecystitis C. Graft versus host disease D. Recurrent hepatitis
A
C. Graft versus host disease
6
Q
A child is admitted to the PICU with hyperuricemia, hyperphosphatemia, hyperkalemia, and hypoglycemia. This constellation of findings suggest A. tumor lysis syndrome B. acute renal failure C. failure to thrive D. multisymptom organ failure
A
A. Tumor lysis syndrome
7
Q
A 3-year-old child is admitted with abdominal pain, weight gain, and ascites following a stem cell transplant for cartilage-hair hypoplasia syndrome. The most likely explanation for these findings is A. congestive heart failure B. graft versus hose disease C. chemoradiation toxicity D. sinusoidal obstruction syndrome
A
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