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?
Perform passive range-of-motion to the affected area.
Apply an ice pack to the injury.
Position the injured extremity below the level of the heart.
Administer ibuprofen.
The Correct Answer is B
A. Performing passive range-of-motion exercises can cause further bleeding and should be avoided during an acute injury.
B. Applying an ice pack helps to constrict blood vessels, reduce bleeding, and minimize swelling, making it a recommended action for managing injuries in hemophilia.
C. Positioning the injured extremity below the level of the heart can increase blood flow to the area and worsen the bleeding.
D. Administering ibuprofen is not recommended as it can inhibit platelet function and increase the risk of bleeding. Acetaminophen is a safer alternative for pain relief in children with hemophilia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Potential Condition: Increased intracranial pressure
Actions to Take:
Measure head circumference: This action is important to monitor for signs of increasing intracranial pressure, as a bulging and tense fontanel suggests possible hydrocephalus or other intracranial pathology.
Plan to assist with administration of antibiotics: Antibiotics may be necessary if there is suspected meningitis or another infectious cause contributing to increased intracranial pressure.
Parameters to Monitor:
Behavioral changes: Monitor for irritability, difficulty to console, and other behavioral changes which can indicate neurological distress.
Pupillary response: Assess for changes in pupillary size and reactivity, as altered pupillary responses can indicate neurological involvement and increased intracranial pressure.
Correct Answer is A
Explanation
A. "You should be prepared to answer your child's questions about dying." is appropriate because children at this age may have questions about death and dying. It is important for the guardian to be honest and provide age-appropriate answers to help the child understand and cope with their situation.
B. While younger children often view death as temporary, a 10-year-old child typically has a more developed understanding of the finality of death. This statement might not be accurate for this age group.
C. Hiding grief is not recommended as it can create an atmosphere of secrecy and fear. It is better to model healthy expressions of emotions and provide support for the child's feelings.
D. Limiting visits between siblings may not be necessary and can be detrimental. Sibling support can be very important for both the ill child and the sibling, providing comfort and a sense of normalcy.
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