Page 911 - Saunders Comprehensive Review For NCLEX-RN

Caused by diminished production and increased destruction of red blood cells,
triggered by viral infection or depletion of folic acid
Manifestations: Profound anemia and pallor

Box 30-2

Types of β-Thalassemia

Thalassemia Minor: Asymptomatic silent carrier case
Thalassemia Trait: Produces mild microcytic anemia
Thalassemia Intermedia: Manifested as splenomegaly and moderate to severe
anemia
Thalassemia Major: Results in severe anemia requiring transfusion support to
sustain life (also known as Cooley’s anemia)

Practice Questions

302. The nurse analyzes the laboratory results of a child with hemophilia. The
nurse understands that which result will most likely be abnormal in this
child?
1. Platelet count
2. Hematocrit level
3. Hemoglobin level
4. Partial thromboplastin time
303. The nurse is providing home care instructions to the parents of a 10-year-old
child with hemophilia. Which sport activity should the nurse suggest for this
child?
1. Soccer
2. Basketball
3. Swimming
4. Field hockey
304. The nursing student is presenting a clinical conference and discusses the
cause of β-thalassemia. The nursing student informs the group that a child at
greatest risk of developing this disorder is which of these?
1. A child of Mexican descent
2. A child of Mediterranean descent
3. A child whose intake of iron is extremely poor
4. A breast-fed child of a mother with chronic anemia
305. A child with β-thalassemia is receiving long-term blood transfusion therapy
for the treatment of the disorder. Chelation therapy is prescribed as a result
of too much iron from the transfusions. Which medication should the nurse
anticipate being prescribed?
1. Fragmin
2. Meropenem
3. Metoprolol

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