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 ["1"]

Explanation

Total daily dose: 1.5 mg

Divided into 3 equal doses: 1.5 mg / 3 = 0.5 mg per dose

Now, we can calculate the number of tablets:

Number of tablets = Desired dose (mg) / Tablet strength (mg/tablet)

Number of tablets = 0.5 mg / 0.5 mg/tablet = 1 tablet

A. "Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels." B. "Sickled red blood cells are c-shaped and tend to stick together more easily." C. "Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells." D. "Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels." E. "Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood."

Correct Answer is ["B","D","E"]

Explanation

A. Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels is incorrect. Sickled red blood cells are rigid and inflexible, which makes it difficult for them to pass through small blood vessels, contributing to blockages and reduced oxygen delivery.

B. Sickled red blood cells are c-shaped and tend to stick together more easily is correct. Sickled red blood cells have an abnormal, crescent or "C" shape, and they stick together, which can cause clumping and block blood flow in small vessels, leading to pain and organ damage.

C. Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells is incorrect. Sickled red blood cells have a shortened life span (about 10-20 days) compared to normal red blood cells, which typically last 120 days, leading to a higher rate of cell destruction and anemia.

D. Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels is correct. The rigidity of sickled cells prevents them from easily moving through small blood vessels, causing occlusions, pain, and organ damage.

E. Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood is correct. Due to their short life span, sickled cells are destroyed more quickly, leading to anemia and reduced oxygen-carrying capacity in the blood.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1"]

Explanation

A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select All that Apply.)

Correct Answer is ["B","D","E"]

Explanation

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