ATI Pediatrics Exam 2 | Nurselytic

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ATI Pediatrics Exam 2 Questions

Extract:

A 7-year-old child with fever, tachycardia, low oxygen saturation, WBC count 15,000/mm^3, Hgb 8 g/dL, Hct 32%.


Question 1 of 5

A nurse is caring for a 7-year-old child who has a fever, tachycardia, and low oxygen saturation. The nurse reviews the child's laboratory results and notes the following: - WBC count 15,000/mm^3 (normal range: 5,000 to 10,000/mm^3) - Hgb 8 g/dL (normal range: 10 to 15.5 g/dL) - Hct 32% (normal range: 32% to 44%) The nurse should suspect that the child has which of the following conditions?

Correct Answer: B

Rationale: The correct answer is B: Sickle cell anemia. The child's low hemoglobin (Hgb) and hematocrit (Hct) levels indicate anemia. Sickle cell anemia is a type of hemolytic anemia characterized by low red blood cell count and hemolysis, leading to low Hgb and Hct levels. In sickle cell anemia, the red blood cells can become sickle-shaped, leading to vaso-occlusive crises, which can cause tissue hypoxia and result in tachycardia and low oxygen saturation. Leukemia (
A) is a cancer of the blood and bone marrow, typically presenting with abnormal white blood cell count. Hemophilia (
C) is a bleeding disorder due to deficiency in clotting factors, not related to the presented symptoms. Iron deficiency anemia (
D) would typically present with low Hgb and Hct levels, but the characteristic sickle-shaped cells seen in sickle cell anemia are

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