A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia A. Which of the following instructions should the nurse include?

Administer aspirin for pain.

Place knee pads on the child.

Perform passive range-of-motion exercises following an acute episode.

Use a firm-bristled toothbrush for dental care.

Answer and Explanation

The Correct Answer is B

A. Administer aspirin for pain. Aspirin increases the risk of bleeding and is contraindicated in clients with hemophilia. Acetaminophen is recommended instead.
B. Place knee pads on the child. Protective gear like knee pads can help prevent joint injuries, which are common in toddlers with hemophilia.
C. Perform passive range-of-motion exercises following an acute episode. Active range-of-motion exercises are preferred after an acute episode to prevent joint damage. Passive exercises can exacerbate bleeding.
D. Use a firm-bristled toothbrush for dental care. A soft-bristled toothbrush should be used to minimize gum bleeding.

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Correct Answer is B

Explanation

A. Indomethacin: This is a nonsteroidal anti-inflammatory drug (NSAID) for pain or inflammation but does not relieve muscle spasms.
B. Baclofen: Baclofen is a muscle relaxant commonly used to manage spasticity in cerebral palsy.
C. Methotrexate: This is an immunosuppressant used for conditions like rheumatoid arthritis, not spasticity.
D. Carbamazepine: This is an anticonvulsant used for seizures, not muscle spasticity.

A. The child's BMI B. The child's pancreatic enzyme dose C. The child's diet D. The child's stool analysis

Correct Answer is A

Explanation

A. The child's BMI: Children with cystic fibrosis often have difficulty absorbing nutrients due to pancreatic insufficiency. Monitoring the child's BMI provides a good overall indicator of nutritional status, as it accounts for both weight and height.
B. The child's pancreatic enzyme dose: While important, the enzyme dose is adjusted to help the child digest food, but it does not directly assess nutritional status.
C. The child's diet: The diet is important, but it doesn't provide a direct, quantifiable measure of nutritional status. It's more of a management tool.
D. The child's stool analysis: Stool analysis can help assess malabsorption, but it does not directly reflect overall nutritional status in terms of growth or weight gain.

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A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia A. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

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