A nurse is reinforcing teaching about controlling a bleeding episode with a parent of a child who has hemophilia. Which of the following statements by the parent indicates a need for further teaching?
“I will elevate the affected area if possible."
“I will apply warm compresses over the site."
“I will have my child rest.”
“I will promptly immobilize the involved area to relieve pain & decrease bleeding."
The Correct Answer is B
A. "I will elevate the affected area if possible."
This statement is correct. Elevating the affected area can help reduce swelling and minimize bleeding by promoting venous return. Elevating the limb above the level of the heart can aid in controlling bleeding and is a recommended intervention.
B. "I will apply warm compresses over the site."
This statement is incorrect. Applying warm compresses is generally not recommended for controlling bleeding in hemophilia. Heat can increase blood flow to the area, potentially exacerbating bleeding. Cold compresses or ice packs are typically recommended to help constrict blood vessels and reduce bleeding.
C. "I will have my child rest."
This statement is correct. Resting is an essential component of managing bleeding episodes in children with hemophilia. Physical activity and exertion can increase the risk of injury and bleeding, so it's important for children with hemophilia to avoid strenuous activities during bleeding episodes.
D. "I will promptly mobilize the involved area to relieve pain & decrease bleeding."
Immobilizing the affected area can help control bleeding and reduce pain by minimizing movement. This is also an appropriate response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5.4"]
Explanation
Convert the child's weight from pounds (lb) to kilograms (kg):
20 lb × (1 kg / 2.20462 lb) ≈ 9.07 kg
Calculate the total daily dose of cefazolin:
Total daily dose = 30 mg/kg/day × 9.07 kg = 272.1 mg/day
Divide the total daily dose into two equal doses:
Each dose = 272.1 mg / 2 ≈ 136.05 mg
Determine the dose per ml using the available oral suspension concentration:
125 mg/5 ml = 25 mg/ml
Calculate the volume of oral suspension needed for each dose:
Volume per dose = Dose per dose / Concentration per ml
≈ 136.05 mg / 25 mg/ml
≈ 5.44 ml
So, the child should receive approximately 5.44 ml per dose of cefazolin oral suspension.
Correct Answer is C
Explanation
A. Respiratory
Kawasaki disease primarily affects the cardiovascular system rather than the respiratory system. While respiratory symptoms such as cough or congestion may occur in some cases, they are not the primary focus of the disease.
B. Gastrointestinal
Although gastrointestinal symptoms such as abdominal pain, vomiting, or diarrhea can occur in Kawasaki disease, they are not the primary system affected. Gastrointestinal symptoms are considered part of the systemic manifestations of the disease but do not define its primary pathology.
C. Cardiovascular
This is the correct answer. Kawasaki disease primarily affects the cardiovascular system. It is characterized by inflammation of the blood vessels, particularly the medium-sized arteries, including the coronary arteries. Coronary artery involvement can lead to coronary artery aneurysms and other cardiovascular complications, making the cardiovascular system the primary focus of the disease.
D. Integumentary
The integumentary system (skin) is not primarily affected by Kawasaki disease. While changes in the skin, such as a rash, may occur as part of the systemic manifestations of the disease, they are not the primary focus of Kawasaki disease.
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