A nurse is reinforcing teaching with the parents of a child who has hemophilia about the care of an injury that causes bleeding. Which of the following instructions should the nurse include in the teaching?
Position the injured extremity below the level of the heart
Apply an ice pack to the injury
Perform passive range of motion to the affected area
Administer ibuprofen
The Correct Answer is B
A. Position the injured extremity below the level of the heart is incorrect. When managing bleeding in hemophilia, the injured area should be elevated to reduce blood flow to the site, which can help minimize bleeding.
B. Apply an ice pack to the injury is correct. Applying ice can help constrict blood vessels and reduce swelling, which is important in controlling bleeding. Cold therapy is commonly used for hemophilia-related injuries to limit blood loss and decrease inflammation.
C. Perform passive range of motion to the affected area is incorrect. Passive range of motion should be avoided in the acute phase of injury because it can increase the risk of further injury or bleeding. Resting the injured limb and preventing movement is typically recommended.
D. Administer ibuprofen is incorrect. Ibuprofen is an NSAID that can interfere with blood clotting and increase the risk of bleeding, which is contraindicated in children with hemophilia. Acetaminophen is typically recommended for pain management in these cases.
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Related Questions
Correct Answer is C
Explanation
A. Sitting the child in an upright position is not the best method for administering otic medications in a toddler. The preferred position is having the child lie on their side with the affected ear facing up to allow proper administration and absorption of the medication.
B. For children under 3 years old, the nurse or parent should pull the pinna downward and back, not upward, to straighten the ear canal for proper medication administration. Pulling upward is appropriate for children older than 3 years.
C. Allowing the otic medication to reach room temperature before administration is essential to prevent discomfort such as dizziness or nausea, which can occur if cold drops are introduced into the ear.
D. After administration, the child should remain in a side-lying position with the affected ear facing up, not down, for a few minutes to allow the medication to properly enter the ear canal. Placing the affected ear down may cause the medication to leak out.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
- A. Acute glomerulonephritis is a condition that can develop following a streptococcal infection, leading to inflammation of the kidneys. Symptoms like puffiness around the eyes, tea-colored urine, and lethargy are indicative of this disease.
- 1) Recent strep infection and the presence of tea-colored urine are key indicators of acute glomerulonephritis. The tea-colored urine suggests hematuria, which is often associated with this condition after a streptococcal infection.
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