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.)

Hemophilia A is a result of insufficient or absent factor VIII.

Von Willebrand disease is a disorder that occurs because of excess production of von Willebrand Factor.

Hemophilia B results from insufficient or absent factor IX.

Von Willebrand disease is a disorder that occurs because of absent or insufficient von Willebrand Factor.

Hemophilia A is a result of insufficient or absent fibrinogen.

Answer and Explanation

Correct Answer : A,C,D

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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Correct Answer is C

Explanation

A. An inguinal hernia occurs when digestive fluids leak from the bowel, causing swelling that results in a bulge in the groin is incorrect. An inguinal hernia involves a protrusion of bowel or fatty tissue through a weakness in the abdominal wall, not digestive fluids leaking from the bowel.

B. An inguinal hernia occurs when a viral infection weakens the intestine, allowing the bowel to herniate into the groin is incorrect. Inguinal hernias are congenital or result from increased intra-abdominal pressure, not caused by viral infections.

C. An inguinal hernia occurs when a part of the bowel or fatty tissue slips through a weak spot in the abdominal cavity near the groin is correct. Inguinal hernias occur when tissue, usually part of the intestine or fatty tissue, pushes through a weak area in the abdominal wall near the groin. This condition is common in infants and children.

D. An inguinal hernia occurs when an accumulation of excess gas in the abdominal cavity results in a bulge in the groin is incorrect. While excess gas can cause bloating or discomfort, it is not responsible for the development of an inguinal hernia. The bulge is caused by the protrusion of tissue through a weakness in the abdominal wall.

A. Have blood work done B. Monitor intracranial pressure C. Recommend a CT scan D. Use the Glasgow cognitive scale

Correct Answer is D

Explanation

A. Have blood work done is not the initial priority for assessing cognitive status in a child with a suspected head injury. Blood work may be ordered later to assess for any contributing factors but is not the first step in cognitive assessment.

B. Monitor intracranial pressure is important but typically comes after an initial cognitive assessment. Elevated intracranial pressure may be suspected after assessing cognitive function and other neurological signs.

C. Recommend a CT scan might be ordered by a healthcare provider to assess for structural brain damage, but the initial assessment of cognitive status should be done first to evaluate the severity of the injury.

D. Use the Glasgow cognitive scale is the correct initial action. The Glasgow Coma Scale (GCS) is used to assess a child's level of consciousness and cognitive function following a head injury. It helps determine the severity of the injury and guides further intervention.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 4-year-old pediatric client who has an inguinal hernia. Which of the following statements should the nurse make when the parents ask for clarification about the inguinal hernia?

Correct Answer is C

Explanation

A nurse is assessing a child who has a suspected head injury. What would be the initial action the nurse should take to assess the child's cognitive status?

Correct Answer is D

Explanation

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