A 15-year-old patient is to receive antihemophilic factor (Factor VIll) replacement therapy. He asks the nurse, "Why does this always happen to me? How come my sisters don't have hemophilia?”. The nurse's response should be based on the understanding that hemophilia is characteristic of which type of hereditary disorder?

X-linked dominant.

Autosomal recessive.

Autosomal dominant.

X-linked recessive.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

X-linked dominant disorders are characterized by a mutation on the X chromosome that results in the expression of the trait in both males and females. Hemophilia, however, is more commonly associated with males, which is not consistent with an X-linked dominant pattern.

Choice B rationale:

Autosomal recessive disorders require the inheritance of two mutated alleles, one from each parent, to express the trait. Hemophilia does not follow this pattern, as the patient's sisters do not have the condition despite having affected parents.

Choice C rationale:

Autosomal dominant disorders only require the inheritance of one mutated allele from an affected parent to express the trait. Hemophilia does not align with an autosomal dominant pattern, as the patient's sisters would likely be affected if it were.

Choice D rationale:

Hemophilia is a classic example of an X-linked recessive disorder. The gene responsible for producing clotting factor is located on the X chromosome, and males have only one X chromosome, making them more susceptible to the disorder. Females, with two X chromosomes, usually act as carriers unless both X chromosomes carry the mutation.

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Correct Answer is C

Explanation

Remove all beverages from the patient's bedside.

Choice A rationale:

Giving the patient a laxative is inappropriate and unnecessary in the context of a ruptured appendix. The focus should be on preparing the patient for surgery and managing the acute condition.

Choice B rationale:

Administering ibuprofen should be avoided as it can mask symptoms and potentially worsen the patient's condition by masking signs of inflammation or infection. This delay in appropriate care could lead to complications.

Choice C rationale:

Removing all beverages from the patient's bedside is essential. NPO (nothing by mouth) status is typically maintained for patients with suspected appendicitis or other surgical conditions to prevent potential aspiration in case surgery is required.

Choice D rationale:

Providing a heating pad is contraindicated in cases of suspected appendicitis or any acute abdominal condition. Heat can worsen inflammation and potentially cause the appendix to rupture, leading to more severe complications.

A. is intolerant of strangers. B. is becoming increasingly modest. C. may have imaginary companions. D. prefers that others make decisions.

Correct Answer is A

Explanation

Choice A rationale:

Priority consideration should be given to the child's intolerance of strangers, as it directly impacts the child's safety and comfort in the hospital environment.

Choice B rationale:

Increasing modesty is a normal developmental aspect, but it doesn't take precedence over safety concerns or the immediate hospital care needs.

Choice C rationale:

Having imaginary companions is a common behavior in children and is not an immediate priority in planning care.

Choice D rationale:

While the child's preference for others making decisions might be a consideration, it is not as urgent as addressing the child's intolerance of strangers, which can affect the child's emotional well-being and cooperation during hospitalization.

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Naxlex Comprehensive Predictor Exams

A 7-year-old patient has been admitted to the hospital with a ruptured appendix. Which action should the nurse take while awaiting surgery?

Correct Answer is C

Explanation

Which observation is the priority to consider when planning care for a 7-year-old hospitalized client? This client:.

Correct Answer is A

Explanation

A 9-year-old patient is admitted to the pediatric unit with a diagnosis of status asthmaticus. Upon entering the hospital room, the nurse observes that the child is sitting and leaning forward on an overbed table. The patient's SpO2 is 93%. The nurse should take which action next?

An 11-year-old patient with sickle cell anemia is admitted to the hospital with vaso-occlusive crisis. He is experiencing pain in his left elbow. The nurse needs to monitor the patient for which symptom?

The nurse is caring for a 2-year-old patient. Which observation requires immediate action by the nurse?

When admitting a 4-year-old patient to the hospital, the nurse learns that the child was exposed to chicken pox three days ago. Which understanding about chicken pox should the nurse consider during room assignment?

Which finding in a 5-year-old child diagnosed with hemolytic uremic syndrome would require the nurse to take immediate action?

A 3-week-old patient is hospitalized for surgical repair of hypertrophic pyloric stenosis. On the third postoperative day, the mother expresses concern that her infant vomited approximately one-fourth of his feeding. Which response by the nurse would be most appropriate at this time?

A 4-year-old patient is newly diagnosed with acute lymphocytic leukemia (ALL). The patient's mother says to the nurse, "I feel numb. I just can't believe this is happening.”. The nurse recognizes that this statement is consistent with which emotional reaction?

Which statement made by the caregiver of a 2-year-old child who is scheduled to have a voiding cystourethrogram (VCUG) indicates a correct understanding of the procedure?