Parents of a school-age child with hemophilia ask the nurse, “What sport is recommended for children with hemophilia?” Which sport should the nurse recommend?
Basketball
Swimming
Soccer
Skating
The Correct Answer is B
Choice A reason:
Basketball, while a popular sport, involves a significant amount of physical contact and the risk of falls and injuries1. For children with hemophilia, engaging in contact sports can increase the risk of bleeding episodes and joint damage. Therefore, basketball is not the most recommended sport for children with hemophilia.
Choice B reason:
Swimming is highly recommended for children with hemophilia because it is a low-impact sport that provides excellent cardiovascular exercise without putting undue stress on the joints. The buoyancy of the water supports the body, reducing the risk of injuries and bleeding episodes. Swimming also helps improve muscle strength and flexibility, which can be beneficial for overall health and well-being.
Choice C reason:
Soccer, like basketball, involves a lot of running, physical contact, and the potential for falls and injuries. These factors make soccer a less suitable sport for children with hemophilia, as it can increase the risk of bleeding and joint damage. Therefore, soccer is not the most recommended sport for children with hemophilia.
Choice D reason:
Skating, whether roller skating or ice skating, carries a risk of falls and injuries. While it can be a fun and enjoyable activity, the potential for accidents makes it less suitable for children with hemophilia. The risk of bleeding episodes and joint damage is higher with activities that involve a significant risk of falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
A 7-year-old child with diabetes insipidus and a urine specific gravity of 1.016 is not in immediate danger. Diabetes insipidus is a condition characterized by excessive thirst and excretion of large amounts of severely diluted urine. A urine specific gravity of 1.016 is within the normal range (1.005 to 1.030). Therefore, this child does not require immediate assessment.
Choice B reason:
A 4-year-old child with asthma and a PCO2 of 37 mm Hg is also not in immediate danger. Asthma is a chronic condition that can cause difficulty breathing, but a PCO2 level of 37 mm Hg is within the normal range (35-45 mm Hg). This indicates that the child’s respiratory status is currently stable, and immediate assessment is not required.
Choice C reason:
A 1-year-old toddler with roseola and a temperature of 39°C (102.2°F) is experiencing a common viral infection that typically causes a high fever followed by a rash. While the fever is high, it is not uncommon for roseola and can be managed with antipyretics and supportive care. This child does not require immediate assessment.
Choice D reason:
A 10-year-old child with sickle cell anemia reporting 8 out of 10 chest pain is in immediate danger and requires urgent assessment. Chest pain in a child with sickle cell anemia can indicate acute chest syndrome, a severe and potentially life-threatening complication. Acute chest syndrome is characterized by chest pain, fever, and respiratory distress, and it requires prompt medical intervention. Therefore, this child should be assessed first.
Correct Answer is ["2"]
Explanation
Calculation Steps
Step 1: Determine the total urine output in mL.
- Total urine output = 360 mL
Step 2: Determine the child’s weight in kg.
- Weight = 15 kg
Step 3: Determine the time period in hours.
- Time = 12 hours
Step 4: Calculate the urine output in mL/kg/hour.
- Urine output (mL/kg/hour) = Total urine output ÷ (Weight × Time)
Step 5: Perform the multiplication inside the parentheses first.
- Weight × Time = 15 kg × 12 hours = 180 kg·hours
Step 6: Perform the division.
- Urine output (mL/kg/hour) = 360 mL ÷ 180 kg·hours = 2 mL/kg/hour
Result
The child’s urine output is 2 mL/kg/hour.
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