Certified Pediatric Hematology Oncology Nurse (CPHON) Practice Exam 2025 - Free CPHON Practice Questions and Study Guide

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Which of the following is NOT one of the nursing assessments for Autoimmune Hemolytic Anemia (AIHA)?

Read labs for decreased hemoglobin

Monitor for transfusion complications

Assess for respiratory distress

In the context of Autoimmune Hemolytic Anemia (AIHA), nursing assessments are specifically tailored to monitor for signs and symptoms directly related to the condition and its treatment. The key assessments focus on laboratory findings, the patient’s response to potential treatments like transfusions, and providing education to the family about the condition.

Monitoring laboratory values for decreased hemoglobin is crucial, as this reflects the level of anemia and the effectiveness of treatment. Assessing for possible transfusion complications is equally important due to the risk of transfusion reactions, especially in patients with AIHA who may have complex blood type issues or may be more sensitized due to their immune status. Educating the family about AIHA helps in understanding the illness, its implications, and management strategies, which is a vital part of nursing care.

While assessing for respiratory distress is an important nursing assessment in many clinical situations, it is not directly related to AIHA unless there are specific circumstances in the patient’s overall health (such as severe anemia leading to hypoxia). Thus, in the context of AIHA nursing assessments, looking for respiratory distress would not typically be one of the standard evaluations to perform.

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Teach family about AIHA

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