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 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.
Correct Answer is D
Explanation
A. "The Courageous Parent's Network is an international organization that promotes palliative care." While the Courageous Parents Network does provide education and support for families facing serious illness, it is not classified as an international organization. It primarily focuses on U.S.-based resources and advocacy.
B. "The Pediatric Palliative Care Group will help pay for burial expenses for those who lose a child." There is no widely recognized organization under this name that specifically funds burial expenses. While some charitable groups may assist with end-of-life costs, this is not a defining feature of pediatric palliative care organizations.
C. "The Compassionate Friends Group provides behavioral health counseling services." The Compassionate Friends is a well-known bereavement support organization that provides peer-led support groups rather than formal behavioral health counseling services.
D. "Grief counseling is a key component of bereavement care." Bereavement care includes emotional and psychological support, with grief counseling playing a vital role in helping families cope with loss. Many organizations emphasize grief support as a crucial part of palliative and end-of-life care.
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