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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply." is the correct explanation. Intussusception occurs when a part of the intestine telescopes into an adjacent section, causing a blockage that can cut off blood supply and lead to tissue death. This is a medical emergency requiring prompt treatment.

B. "Intussusception results from the twisting of the intestine, causing a blockage in the passage of food." is incorrect. While intussusception causes a blockage, it does not result from twisting; it involves one segment of the intestine sliding into another.

C. "Intussusception is a congenital condition where the layers of the intestinal wall do not form properly." is incorrect. Intussusception is not congenital in nature; it can occur in otherwise healthy infants and children but is not a result of improper formation of the intestinal wall layers.

D. "Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge." is inaccurate. Intussusception does not result from weakened abdominal muscles but rather from one part of the intestine slipping into another, which may cause the blockage and reduced blood flow.

A. Nausea B. Hair loss C. Diarrhea D. Skin Sensitivity E. Weight gain

Correct Answer is ["A","B","C","D"]

Explanation

A. Nausea is a common side effect of both chemotherapy and radiation therapy. Antiemetics are often used to manage this adverse effect.

B. Hair loss is a well-known side effect of chemotherapy, as it affects rapidly dividing cells, including those in hair follicles. Radiation therapy to the head or neck area can also cause localized hair loss.

C. Diarrhea is a potential side effect of chemotherapy and radiation, particularly when the digestive tract is affected. Some chemotherapies and radiation treatments irritate the gastrointestinal system, leading to diarrhea.

D. Skin Sensitivity can result from radiation therapy, especially in the treated area. The skin may become red, irritated, and sensitive.

E. Weight gain is not typically associated with chemotherapy or radiation therapy. In fact, many children experience weight loss due to nausea, decreased appetite, or other side effects.

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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

A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?

Correct Answer is A

Explanation

A nurse is creating a plan of care for a pediatric client who has been diagnosed with osteosarcoma and will be receiving chemotherapy with radiation interventions. The nurse should monitor the client for which of the following expected adverse effects? (Select All that Apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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