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OMSB_OEN Exam - Topic 2 Question 43 Discussion

An 11-year-old child with beta-thalassemia major is admitted for blood transfusion. The child underwent splenectomy last month.Which of the following is a PRIORITY nursing intervention?
A) Prevent infections
B) Promote high-fat intake
C) Encourage frequent voiding
D) Maintain adequate hydration

OMSB_OEN Exam - Topic 2 Question 43 Discussion

Actual exam question for OMSB's OMSB_OEN exam
Question #: 43
Topic #: 2
[All OMSB_OEN Questions]

An 11-year-old child with beta-thalassemia major is admitted for blood transfusion. The child underwent splenectomy last month.

Which of the following is a PRIORITY nursing intervention?

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Suggested Answer: A

Beta-Thalassemia Major and Splenectomy:

Patients with beta-thalassemia major often require frequent blood transfusions.

Splenectomy increases the risk of infections due to loss of the spleen's immune function.

Priority Nursing Interventions:

Prevent Infections: The highest priority post-splenectomy due to the increased risk of sepsis and other infections.

High-Fat Intake, Frequent Voiding, Hydration: Important but secondary to infection prevention.


Centers for Disease Control and Prevention (CDC) guidelines on post-splenectomy care

National Institutes of Health (NIH) on Thalassemia Management

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