A nurse is caring for a 13-year-old adolescent in the pediatric emergency room who has a suspected head injury. Which of the following actions should the nurse take first?

Notify the adolescent's primary care provider.

Collect a detailed past medical history.

Perform a thorough assessment noting acute conditions

Administer pain medication to the adolescent.

Answer and Explanation

The Correct Answer is C

A. Notify the adolescent's primary care provider is incorrect. While it is important to notify the healthcare provider, the immediate priority is performing a thorough assessment to determine the severity of the head injury and any potential complications, such as changes in consciousness or neurological status.

B. Collect a detailed past medical history is incorrect. Although collecting medical history is important, it is not the priority in the acute phase of a suspected head injury. The priority is to assess the current condition of the adolescent, especially signs of deterioration.

C. Perform a thorough assessment noting acute conditions is correct. The priority in suspected head injuries is to perform a thorough assessment to evaluate the patient's neurological status. This includes checking for signs of a concussion, increased intracranial pressure, or any other acute conditions that may require immediate intervention.

D. Administer pain medication to the adolescent is incorrect. Pain management is important, but it should not be the first action when a head injury is suspected, as it can mask symptoms or affect the ability to assess neurological function properly.

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Correct Answer is C

Explanation

A. Consuming a diet high in iron-rich foods, such as lean meats, beans, and leafy vegetables, can help prevent iron deficiency anemia.

B. Regular consumption of fortified cereals provides essential nutrients, including iron, which can help prevent anemia.

C. This is the correct answer. Excessive intake of cow's milk can be a risk factor for iron deficiency anemia in toddlers because cow's milk is low in iron and can interfere with iron absorption. Additionally, consuming large amounts of cow's milk can cause gastrointestinal blood loss, further contributing to iron deficiency.

D. While participating in physical activities is important for a toddler's growth and development, it does not directly relate to an increased risk for iron deficiency anemia.

A. Hemophilia A is a result of insufficient or absent factor VIII. B. Von Willebrand disease is a disorder that occurs because of excess production of von Willebrand Factor. C. Hemophilia B results from insufficient or absent factor IX. D. Von Willebrand disease is a disorder that occurs because of absent or insufficient von Willebrand Factor. E. Hemophilia A is a result of insufficient or absent fibrinogen.

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

Explanation

A. Hemophilia A is a result of insufficient or absent factor VIII is correct. Hemophilia A is caused by a deficiency or absence of clotting factor VIII, which impairs the ability of blood to clot properly.

B. Von Willebrand disease is a disorder that occurs because of excess production of von Willebrand Factor is incorrect. Von Willebrand disease is actually caused by a deficiency or dysfunction of von Willebrand Factor, which is necessary for platelet adhesion and clotting.

C. Hemophilia B results from insufficient or absent factor IX is correct. Hemophilia B is caused by a deficiency of clotting factor IX, similar to hemophilia A, but involves a different clotting factor.

D. Von Willebrand disease is a disorder that occurs because of absent or insufficient von Willebrand Factor is correct. This disorder involves a deficiency or dysfunction of von Willebrand Factor, which leads to impaired clotting and easy bleeding.

E. Hemophilia A is a result of insufficient or absent fibrinogen is incorrect. Hemophilia A is caused by a deficiency of factor VIII, not fibrinogen, which is involved in the final steps of the clotting cascade.

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A nurse is caring for a 13-year-old adolescent in the pediatric emergency room who has a suspected head injury. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a risk factor for iron deficiency anemia in toddlers?

Correct Answer is C

Explanation

A nurse is educating a family about bleeding disorders while they await the results of their child's laboratory testing. Which of the following statements accurately describes the differences in the causes of hemophilia A, hemophilia B, and von Willebrand disease? (Select All that Apply.)

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

Explanation

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