A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Fresh frozen plasma

Recombinant

Packed RBCS

Prophylactic antibiotics

Answer and Explanation

The Correct Answer is B

A. Fresh frozen plasma: Fresh frozen plasma contains clotting factors, including factor VIII, but it is not the primary treatment for hemophilia A. While it can be used in emergency situations to temporarily increase clotting factor levels, it is not typically administered prophylactically before dental procedures.
B. Recombinant factor VIII: This is the correct answer. Recombinant factor VIII is the treatment of choice for individuals with hemophilia A. It is administered to replace the deficient factor VIII in the blood, thereby promoting clot formation and preventing excessive bleeding during surgical procedures such as wisdom teeth extractions.
C. Packed red blood cells (RBCs): Packed red blood cells are not typically indicated for the treatment of hemophilia A. While they may be necessary if significant blood loss occurs during the procedure, the primary treatment is replacement of the deficient clotting factor.
D. Prophylactic antibiotics: Prophylactic antibiotics may be prescribed to prevent infection following dental procedures, especially in individuals with bleeding disorders who are at increased risk of infection due to compromised immune function. However, the primary treatment for hemophilia A prior to dental procedures is replacement therapy with clotting factor concentrates like recombinant factor VIII.

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Free Nursing Study Resources

Correct Answer is ["175"]

Explanation

We are asked to calculate the dosage of cephazolin for a 1-month-old infant based on their weight.

Steps to solve: 1. Identify the given values:

Dose per kg = 50 mg/kg
Weight of the infant = 3500 g

2. Set up the formula: Dosage (mg) = Dose per kg (mg/kg) × Weight (kg)

3. Since the weight is given in grams, convert it to kilograms: 3500 g / 1000 g/kg = 3.5 kg

4. Substitute the known values into the formula and calculate: Dosage (mg) = 50 mg/kg × 3.5 kg Dosage (mg) = 175 mg

5. Round the answer to the nearest tenth: Dosage (mg) = 175.0 mg

The nurse should administer 175.0 mg of cephazolin per dose.

A. The client runs 4 miles outdoors every afternoon B. The client eats 2 to 3 g of sodium containing foods C. The client eats foods high in tyramine D. The client drinks 2 litres of liquids daily

Correct Answer is A

Explanation

A. The client runs 4 miles outdoors every afternoon: Exercise, especially in hot weather, can lead to dehydration and increased sweating, which can result in decreased lithium excretion and increased lithium levels in the blood, leading to toxicity. Therefore, this factor puts the client at risk for lithium toxicity.
B. The client eats 2 to 3 g of sodium-containing foods: Sodium intake can affect lithium levels, as high sodium levels can increase lithium excretion and lower lithium levels. Therefore, eating sodium-containing foods is less likely to contribute to lithium toxicity.
C. The client eats foods high in tyramine: Tyramine-rich foods can interact with certain medications, such as MAOIs, but they do not directly increase the risk of lithium toxicity.
D. The client drinks 2 liters of liquids daily: Adequate hydration is important for clients taking lithium, as dehydration can increase lithium levels. Therefore, drinking 2 liters of liquids daily is not a risk factor for lithium toxicity.

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A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["175"]

Explanation

A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?

Correct Answer is A

Explanation

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