The nurse analyzes the laboratory results of a pediatric client with hemophilia. The nurse understands which result will most likely be abnormal in this client?
Partial thromboplastin time
Hemoglobin level
Platelet count
Hematocrit level
The Correct Answer is A
A. Hemophilia is a bleeding disorder that affects the clotting process, and the partial thromboplastin time (PTT) is typically prolonged in individuals with hemophilia, indicating a deficiency in clotting factors.
B. Hemoglobin levels may remain normal unless the client experiences significant bleeding episodes.
C. Platelet count is usually normal in hemophilia, as the disorder affects clotting factors rather than platelet production.
D. Hematocrit levels may also remain normal unless there is significant bleeding, which would lower hematocrit due to blood loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Offering a pacifier is contraindicated after cleft lip and palate repair as it can disrupt the surgical site and interfere with healing.
B. Maintaining elbow restraints prevents the infant from touching or putting objects in their mouth, which could disrupt the surgical site and compromise healing.
C. The Trendelenburg position is not recommended as it can increase pressure on the surgical site and compromise breathing.
D. An ice collar may be used for pain relief in older children or adults but is not typically used in infants, and it may not be feasible in this population.
Correct Answer is B
Explanation
A. The child’s reluctance to change clothes in front of others might suggest body image issues, but it doesn’t directly indicate spinal curvature.
B. Difficulty finding pants that fit evenly over the hips could indicate a scoliosis-related curvature, where one hip may be higher than the other.
C. Back pain could be related to various conditions, including scoliosis, but by itself, it’s not definitive for spinal curvature.
D. Daily use of ibuprofen for hip pain may indicate musculoskeletal issues but doesn’t directly relate to spinal curvature or scoliosis.
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