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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An oatmeal bath can soothe the skin but is not the immediate first step.
B. Flushing the area with cold, running water helps remove the plant oils that cause the reaction and is the first step in managing poison ivy exposure.
C. Administering an oral corticosteroid may be necessary for severe reactions but is not the first action to take.
D. Calamine lotion can help with itching but should be applied after washing off the plant oils.
Correct Answer is A
Explanation
A. Lethargy is a common symptom of hypothyroidism due to decreased metabolism.
B. Hirsutism is not associated with hypothyroidism; it is more commonly seen in conditions like polycystic ovary syndrome (PCOS).
C. Tachycardia is typically associated with hyperthyroidism, not hypothyroidism.
D. Diarrhea is also associated with hyperthyroidism, while hypothyroidism usually causes constipation.
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