A child with hemophilia is experiencing a bleeding episode. After applying pressure to the bleeding site, what is the priority intervention?

Encourage active range of motion exercises

Administer antibiotics as prescribed

Apply heat to the affected area

Administer factor replacement therapy as prescribed

Answer and Explanation

The Correct Answer is D

A. Encourage active range of motion exercises is incorrect. Active range of motion exercises should be avoided during a bleeding episode, as it may exacerbate the bleeding or cause further injury. Hemophilia requires rest and stabilization during bleeding episodes.

B. Administer antibiotics as prescribed is incorrect. Antibiotics are typically not needed for bleeding episodes unless there is a risk of infection from a wound. The primary concern during a bleeding episode is managing the bleeding, not preventing infection.

C. Apply heat to the affected area is incorrect. Heat is not recommended during a bleeding episode as it can increase blood flow and worsen bleeding. Instead, ice may be applied to help control bleeding and reduce swelling.

D. Administer factor replacement therapy as prescribed is correct. The priority in managing bleeding in a child with hemophilia is to administer factor replacement therapy, which helps to replace the missing clotting factors in the blood, enabling proper clot formation and stopping the bleeding.

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Correct Answer is B

Explanation

A. Ribs are not a typical location for rhabdomyosarcoma, which primarily affects soft tissue. While it can occur in any area of the body, tumors most commonly develop in the muscles, such as in the upper leg.

B. Upper leg is the most common site of rhabdomyosarcoma in children. This cancer originates in the soft tissues, particularly skeletal muscles.

C. Head is a less common site for rhabdomyosarcoma, although it can occur in the head or neck region. However, the upper leg is more frequently affected.

D. Spine is not a typical location for rhabdomyosarcoma. While other sarcomas can affect bones and tissues of the spine, rhabdomyosarcoma generally affects soft tissues like muscles and tendons.

A. Alteration in pupil size and reactivity and increased motor response B. Extension or flexion posturing and weight gain C. Tachycardia and alteration in pupil size and reactivity D. Cheyne-Stokes respirations and alteration in pupil size

Correct Answer is D

Explanation

A. While alterations in pupil size and reactivity are signs of increased ICP, increased motor response is not a late sign and typically reflects an early sign of brain dysfunction.

B. Extension or flexion posturing may occur with increased ICP, but weight gain is not a sign of ICP.

C. Tachycardia can occur early in ICP, but it does not typically present as a late sign. Altered pupil size and reactivity may occur, but these are not exclusive to late ICP signs.

D. This is the correct answer. Cheyne-Stokes respirations, which are characterized by alternating periods of apnea and deep breathing, are a late sign of increased ICP in infants. Additionally, changes in pupil size (such as dilated or non-reactive pupils) are a late indicator of increasing intracranial pressure.

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A child with hemophilia is experiencing a bleeding episode. After applying pressure to the bleeding site, what is the priority intervention?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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