A 15-year-old patient with hemophilia is admitted with hemarthrosis. Which nursing action should be implemented?
Maintaining supplemental oxygen.
Elevating the head of the bed 45 degrees.
Providing passive range-of-motion exercises to all extremities.
Immobilizing the affected joint.
The Correct Answer is D
Choice A rationale:
Maintaining supplemental oxygen is not directly relevant to the management of hemarthrosis in a patient with hemophilia. Hemarthrosis is bleeding into a joint due to impaired clotting factors in hemophilia, and oxygen supplementation is not a primary intervention.
Choice B rationale:
Elevating the head of the bed 45 degrees is not the most appropriate action for hemarthrosis. Elevation would not address the joint bleeding, and it could potentially cause discomfort to the patient.
Choice C rationale:
Providing passive range-of-motion exercises to all extremities is contraindicated in this scenario. Active or passive range-of-motion exercises could exacerbate bleeding and further damage the affected joint in a patient with hemarthrosis.
Choice D rationale:
Immobilizing the affected joint is the correct nursing action. Immobilization helps to prevent further bleeding and joint damage. By limiting movement, the risk of exacerbating the bleeding is minimized, promoting healing and reducing pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Inflammation and edema of the scrotum is not a typical symptom of gonorrhea. Scrotal involvement is more commonly associated with conditions like epididymitis.
Choice B rationale:
Painful urination with yellow urethral discharge is a classic symptom of gonorrhea. The infection affects the genitourinary tract, causing discomfort during urination and a characteristic purulent discharge.
Choice C rationale:
Maculopapular rash in the genital area is not a typical presentation of gonorrhea. This type of rash might be seen in other infections, such as syphilis.
Choice D rationale:
Red, hard lesion on the penis is not a common manifestation of gonorrhea. This description more closely matches the appearance of a primary syphilis chancre.
Correct Answer is A
Explanation
Choice A rationale:
Allowing the child to have the soiled stuffed dog within sight but out of reach respects his attachment to the comfort object while maintaining hygiene standards of the hospital environment. The child's emotional well-being is crucial, and separation from a beloved item during a hospital stay can be distressing. Placing the dog in view but inaccessible helps strike a balance between comfort and infection control.
Choice B rationale:
While the mother's desire to keep the dog with the child is understandable, infection control is a concern in a hospital setting. Allowing the soiled object to remain in close proximity could compromise the child's health.
Choice C rationale:
Suggesting that the mother take the dog home to wash it and bring it back later might cause unnecessary distress for the child, who may worry about being separated from the comfort object for an extended period.
Choice D rationale:
Choosing a replacement from the playroom's stuffed animals could be unsettling for the child, as his attachment is to his specific dog. The familiarity of his own toy is likely to provide more comfort during the hospitalization. .
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