A nurse is providing teaching about participating in sports to a 12-year-old child who has hemophilia. Which of the following sports should the nurse recommend?
Basketball
Soccer
Gymnastics
Bowling
The Correct Answer is D
A. Basketball. Basketball is a high-impact sport with a risk of falls and collisions, which could lead to bleeding episodes in a child with hemophilia.
B. Soccer. Soccer involves physical contact and a high risk of injury, making it unsafe for children with hemophilia.
C. Gymnastics. Gymnastics carries a risk of falls, bruising, and joint injuries, which can lead to internal bleeding.
D. Bowling. Bowling is a low-impact sport with minimal risk of injury, making it a safe option for children with hemophilia.
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Related Questions
Correct Answer is C
Explanation
A. "Ask her if she is ready to eat her sandwich for lunch." Asking if the child is ready to eat might increase resistance, as toddlers often assert their autonomy by saying "no." This does not provide an option that would allow the toddler to make a choice.
B. "Ask her if she would like to have her favorite sandwich for lunch." This is a yes/no question which might lead to refusal, especially if the child is already in a stage of negativism, where they are more likely to resist being told what to do.
C. "Tell her that she may have a sandwich or soup for lunch." Offering choices between two acceptable options gives the toddler a sense of control, which can help reduce oppositional behavior. This approach aligns with the developmental stage of toddlers who are asserting independence.
D. "Tell her she is having her favorite sandwich for lunch." Telling the child what they will have to eat might lead to resistance. Providing a choice rather than making a statement gives the child more agency in their decision-making.
Correct Answer is A
Explanation
A. Mild hematuria. One of the hallmark signs of glomerulonephritis is hematuria (presence of blood in the urine). Mild hematuria is common and is often associated with glomerular injury, which allows red blood cells to pass through the glomerular filtration barrier.
B. Hyponatremia. Hyponatremia (low sodium levels) is not typically associated with glomerulonephritis. However, in severe cases of kidney dysfunction, fluid retention can lead to dilutional hyponatremia, but it is not a primary finding in glomerulonephritis.
C. Absent urine protein. Proteinuria (presence of protein in the urine) is a common finding in glomerulonephritis due to damage to the glomerular filtration barrier. It is typically present, though the amount may vary.
D. Decreased blood potassium. Hyperkalemia (increased potassium levels) is more commonly seen in acute kidney injury and glomerulonephritis due to decreased kidney function. Decreased potassium levels are not typical in this condition.
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