The most appropriate nursing diagnosis for a child with anemia is:
a. Activity Intolerance related to generalized weakness.
b. Decreased Cardiac Output related to abnormal hemoglobin.
c. Risk for Injury related to depressed sensorium.
d. Risk for Injury related to dehydration and abnormal hemoglobin.
ANS: A
The basic pathology in anemia is the decreased oxygen-carrying capacity of the blood. The nurse must assess the child's activity level (response to the physiologic state). The nursing diagnosis would reflect the activity intolerance. In generalized anemia no abnormal hemoglobin may be present. Only at a level of very severe anemia does cardiac output become altered. No decreased sensorium exists until profound anemia occurs. Dehydration and abnormal hemoglobin are not usually part of anemia.
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