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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?

Show Suggested Answer Hide Answer
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

by Nathan at Jun 20, 2026, 12:43 AM

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Darrin
3 days ago
I was torn between that and hydration, but infection prevention seems more urgent.
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Loreta
8 days ago
Agreed, infections can be life-threatening. A priority intervention for sure.
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Vinnie
14 days ago
I think preventing infections is crucial here. The child is at high risk after splenectomy.
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Glendora
19 days ago
I’m not sure about the priority here. Isn’t hydration always important?
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Maile
24 days ago
Totally agree with A! Kids are so vulnerable to infections.
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Mammie
29 days ago
Wait, why would you promote high-fat intake? That seems off.
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Tammi
1 month ago
I think D) Maintain adequate hydration is important too.
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Glory
1 month ago
Definitely A) Prevent infections. That's crucial after a splenectomy!
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Royal
1 month ago
I’m a bit confused; I thought maintaining hydration was key, but I guess infection prevention could be more critical after splenectomy?
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Tamesha
2 months ago
I think we had a practice question about prioritizing interventions for children with anemia. Preventing infections seems to come up often.
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Pauline
2 months ago
I'm not entirely sure, but I feel like hydration is important too, especially with blood transfusions.
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Rueben
2 months ago
I remember we talked about infection risks in patients with splenectomy. I think preventing infections might be the priority here.
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