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An 8-year-old child with sickle cell anemia is brought to the emergency department with sudden abdominal distention, pallor, tachycardia, and lethargy. The parents report that the child had mild extremity pain earlier in the day but now appears weak and less responsive. On examination, the nurse notes an enlarged spleen and signs of hypovolemia.Which complication is most consistent with this presentation?

A 20-month-old toddler is brought to the clinic for evaluation of abdominal distention and decreased appetite. The parent reports irritability and intermittent limping. On examination, the nurse palpates a firm, irregular abdominal mass that crosses the midline. The provider suspects neuroblastoma.Which findings are consistent with neuroblastoma and support the suspected diagnosis?Select all that apply.

A pediatric nurse is using family-centered frameworks to guide assessment and intervention planning. Based on the image summarizing family theories, which statements accurately match the correct theory with its key strength, limitation, or clinical application?Select all that apply.

A 6-year-old child with a history of a congenital heart defect is scheduled for cardiac catheterization prior to surgical repair. The parents ask the nurse to explain why this procedure is necessary when echocardiography has already been performed.Which explanation by the nurse is most accurate regarding the primary diagnostic value of cardiac catheterization in this situation?

A 3-week-old client with a history of gastroschisis underwent extensive small-bowel resection and is now receiving parenteral nutrition (PN). The infant has persistent diarrhea, poor weight gain, and signs of electrolyte imbalance. The parents ask why long-term PN is necessary if “some intestine is still present.” Which nursing explanation is most accurate regarding short bowel syndrome (SBS)?

A 6-year-old boy is brought to the emergency department after minor trauma to his knee. The parents report prolonged bleeding after circumcision in infancy and frequent large bruises with minimal injury. Laboratory evaluation reveals normal platelet count and normal bleeding time, but markedly prolonged clotting time. Further testing confirms severe factor VIII deficiency.Which statement best explains the pathophysiologic basis of this child’s bleeding disorder?

A 7-year-old client undergoes audiometric testing after teachers report difficulty participating in classroom discussions. The audiogram reveals a bilateral hearing threshold of 62 dB across the critical speech frequencies (500-2000 Hz). The parents state, “Our child seems to hear us at home if we speak loudly but struggles in group settings.”Based on the classification of hearing impairment by symptom severity, which interpretation is most accurate?

A 20-month-old client is hospitalized for pneumonia. The parent reports that during the first 24 hours, the child screamed continuously, attempted to hit staff, and tried to climb out of the crib when the parent left. On day 3, the child is quiet, lies in bed without interest in toys, sucks a thumb, and refuses to eat. On day 6, the child begins smiling at staff, plays briefly with toys, and shows little reaction when the parent visits.Which of the following behaviors are correctly matched with the stage of separation anxiety described?Select all that apply.

A 9-year-old client presents to the school nurse after colliding with another child during recess. The parent reports that one permanent upper incisor was completely knocked out and placed dry in a tissue for 45 minutes before arrival. The child also has visible plaque accumulation and gingival redness noted during examination.Which nursing action is most appropriate to prevent long-term dental complications?

A nurse is conducting anticipatory guidance for parents of a 4-year-old client who will begin preschool in 2 months. The parents state, “We want to make sure our child adjusts well and is truly ready. We’re also worried about illness and separation anxiety.”Which nursing recommendations are most appropriate to promote healthy adjustment and school readiness?Select all that apply.