Certified Pediatric Hematology Oncology Nurse (CPHON) 2025 – 400 Free Practice Questions to Pass the Exam

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Which of the following assessments is crucial for monitoring extramedullary erythropoiesis?

Monitoring vitamin D levels

Transfusion of pRBC if hemoglobin is between 9-10 gm/dl

Monitoring for extramedullary erythropoiesis is essential in patients where this process might occur, typically as a compensatory mechanism due to anemia or other hematologic disorders. The correct assessment involves understanding the patient’s hemoglobin levels and appropriately managing those levels.

Offering transfusion of packed red blood cells (pRBC) when hemoglobin is between 9-10 gm/dl is a crucial aspect of care. This intervention helps alleviate symptoms associated with anemia, ultimately supporting adequate oxygen delivery to tissues and preventing the need for extramedullary sites to compensate for reduced red blood cell production.

Other assessments such as monitoring vitamin D levels, measuring blood pressure, or checking for fever have their importance in various clinical contexts, but they do not specifically address the evaluation or management of extramedullary erythropoiesis directly. Monitoring hemoglobin levels and deciding on transfusion is directly linked to managing anemia and its complications, making it the most relevant choice.

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Measuring blood pressure

Checking for fever

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