Indications for platelet transfusions in infants less than 4 months of age include all of the following platelet counts and clinical situations EXCEPT

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Question 1 of 5

Indications for platelet transfusions in infants less than 4 months of age include all of the following platelet counts and clinical situations EXCEPT

Correct Answer: C

Rationale: Stable infants with <20 × 10⁹/L (C) don’t routinely need transfusion unless bleeding or unstable.

Question 2 of 5

Which of the following can lead to a possible diagnosis of human immunodeficiency virus (HIV) in a child? (Select one that does not apply.)

Correct Answer: D

Rationale: Children with HIV commonly exhibit frequent respiratory infections, intermittent diarrhea, and poor weight gain due to underlying cellular immunodeficiency.

Question 3 of 5

A child with hemophilia A fell and injured a knee while playing outside. The knee is swollen and painful. Which of the following measures should be taken to stop the bleeding? (Select one that does not apply.)

Correct Answer: C

Rationale: Immobilization and elevation help induce vasoconstriction and reduce bleeding. Factor VIII administration replaces the deficient clotting factor in hemophilia A.

Question 4 of 5

A nurse is caring for a 5-year-old with sickle cell vaso-occlusive crisis. Which of the following orders should the nurse question?

Correct Answer: D

Rationale: Demerol (meperidine) is generally avoided in sickle cell crisis because of its seizure risk. Oral fluids should not be restricted; hydration is critical to prevent further vaso-occlusion.

Question 5 of 5

Prednisone is given to children being treated for leukemia. Why is this medication included in the treatment plan?

Correct Answer: D

Rationale: Prednisone helps destroy abnormal lymphocytes and is a key component of many leukemia treatment protocols.

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