The nurse is caring for a 12-year-old child with ?-thalassemia. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
a. Anorexia
b. Unexplained fever
c. Enlarged spleen or liver
d. Bronzed, freckled complexion
e. Precocious sexual development
ANS: A, B, C, D
The clinical manifestations of ?-thalassemia include anorexia; unexplained fever; an enlarged spleen or liver; and a bronzed, freckled complexion. There is delayed sexual maturation, not precocious.
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