Treatment of cholelithiasis in children with sickle cell disease - Home Study Program

AORN Journal,  June, 2003  by Verna Hendricks-Ferguson,  Martha A. Nelson

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a. Black

b. Brown

c. Mixed

d. Yellow

3. The purpose of erythrocyte transfusion therapy is to

a. terminate bleeding by mechanical or chemical means or by vasoconstriction, platelet aggregation, and thrombin and fibrin synthesis.

b. form and develop various types of blood cells using fresh blood plasma or serum.

c. reduce the percentage of hemoglobin S and increase the hemoglobin concentration to greater than 10 gm per dL.

d. remove impurities or wastes from the blood with diffusion and ultrafiltration and then return the blood to the patient's circulation.

4. Children with SCD who undergo cholecystectomy have a higher risk of developing all of the following except

a. ascending cholangitis.

b. choledocholithiasis.

c. acute cholecystitis.

d. cholangioma.

5. Psychologist Erik Erikson characterized children ages six to 12 as being in the -- -- stage of psychosocial development.

a. autonomy versus shame and doubt

b. initiative versus guilt

c. industry versus inferiority

d. identity versus role confusion

6. Encouraging the patient's participation in selecting a scented mask is an example of an appropriate developmental strategy that nurses can implement to aid in meeting the developmental needs of a school-age child.

a. true

b. false

7. All of the following interactions are appropriate for the nursing diagnosis "Fear of the unknown related to undergoing cholecystectomy" except

a. explains the purpose of intraoperative equipment in age-appropriate terms.

b. explains how cholecystectomy is a definitive treatment for cholelithiasis.

c. incorporates distraction techniques appropriate for the school-age patient by discussing interests.

d. encourages the patient to select a scented oxygen mask for use during anesthesia induction in the OR.

8. Surgery and general anesthesia are potential stressors for children with SCD. Intraoperative complications include all of the following except

a. organ system reserve depletion.

b. hypothermia and transient hypoxia.

c. dehydration.

d. bleeding diathesis.

9. Submersion of the incision is allowed immediately after surgery because the incision is closed with collodion.

a. true

b. false

10. Benefits of elective laparoscopic cholecystectomy in children with SCD include all of the following except

a. reduced postoperative pain, which improves pulmonary toilet and decreases risk of pneumonia and vase-occlusive events.

b. shortened hospital stay and improved postoperative recovery.

c. reduced risk of postoperative ileus, smaller incision, and decreased keloid formation, resulting in an improved body image for young patients with SCD.

d. easier observation of the abdominal cavity than is possible with an open procedure.

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