In anticipation of the admission of a child with hereditary spherocytosis (HS)who is experiencing an aplastic crisis,what action should the nurse plan?
A) Secure an isolation room.
B) Prepare for a transfusion of packed red blood cells.
C) Anticipate preoperative preparation for a splenectomy.
D) Gather equipment and medication for treatment of shock.

Question

Quizplus · Accepted Answer

In hereditary spherocytosis,aplastic crisis results in a sudden cessation of RBC production by the bone marrow.Hemoglobin and hematocrit values drop rapidly,which results in severe anemia.Transfusion support may be needed,and close monitoring of the child's cardiovascular status is necessary.The nurse should prepare for a transfusion of packed red blood cells initially.An isolation room is not needed,splenectomy would not be done at this time,and the child will not be in shock.

In Anticipation of the Admission of a Child with Hereditary