A nurse is collecting data while caring for a school-age child. Which of the following findings may indicate an undiagnosed bleeding disorder?
Mood changes
Swollen knees
Frequent falls
Dental caries
The Correct Answer is B
A. Mood changes. While mood changes can occur due to various health conditions, they are not a direct indicator of a bleeding disorder. Bleeding disorders typically present with physical symptoms like easy bruising or joint swelling.
B. Swollen knees. Joint swelling (hemarthrosis) is a key sign of bleeding disorders such as hemophilia. In children with a bleeding disorder, even minor trauma can cause bleeding into the joints, leading to pain, stiffness, and swelling, particularly in weight-bearing joints like the knees and ankles.
C. Frequent falls. While frequent falls may result in bruising, they are not a direct indicator of a bleeding disorder. However, children with a bleeding disorder may bruise excessively or experience prolonged bleeding after minor falls.
D. Dental caries. Dental caries (tooth decay) is not a symptom of a bleeding disorder but rather results from poor oral hygiene, dietary factors, or bacterial infection. Bleeding disorders may cause prolonged bleeding after dental procedures, but they do not directly cause cavities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.8"]
Explanation
Convert the child's weight from pounds to kilograms:
Formula:
kg = lb / 2.2
= 22 lb / 2.2 lb/kg
= 10 kg
Calculate the total daily dose of dexamethasone:
Total daily dose (mg) = Dose (mg/kg/day) × Weight (kg)
= 1.5 mg/kg/day × 10 kg
= 15 mg/day
Calculate the dose to be administered every 6 hours:
Dose per interval (mg/dose) = Total daily dose (mg/day) / Number of doses per day
= 15 mg/day / 4 doses/day
= 3.75 mg/dose
Calculate the volume of dexamethasone oral solution to administer:
Volume (mL) = Dose (mg) / Concentration (mg/mL)
= 3.75 mg / 1 mg/mL
= 3.75 mL
Round to the nearest tenth:
3.75 mL rounded to the nearest tenth is 3.8 mL.
The nurse should administer 3.8 mL per dose.
Correct Answer is A
Explanation
A. Amenorrhea. Anorexia nervosa is associated with severe weight loss and malnutrition, leading to hormonal imbalances that disrupt the menstrual cycle. Decreased estrogen levels result in amenorrhea, which is a hallmark symptom of the disorder and a significant reproductive health concern.
B. Increased fertility. Anorexia nervosa typically leads to hormonal imbalances, including decreased levels of gonadotropins and estrogen, which suppress ovulation and reduce fertility rather than increasing it.
C. Early onset of puberty. Malnutrition and low body fat delay puberty rather than accelerating it. Adolescents with anorexia nervosa may experience delayed menarche and stunted growth due to inadequate nutrition.
D. Pelvic inflammatory disease (PID). PID is usually caused by sexually transmitted infections and is not directly associated with anorexia nervosa. The primary reproductive concern in anorexia is hormonal disruption leading to menstrual irregularities.
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