Which intervention is a priority for a hemophilic child who has fallen and badly bruised his leg?

Appropriate dose of aspirin and rest

Immobilization of the leg and a dose of ibuprofen

Heating pad and administration of factor Vill concentrate

Pressure on the site and administration of the required clotting factor

Answer and Explanation

The Correct Answer is D

A. Appropriate dose of aspirin and rest: Aspirin is an antiplatelet medication that can worsen bleeding in individuals with hemophilia. It should be avoided. Rest alone is not sufficient in this situation.

B. Immobilization of the leg and a dose of ibuprofen: Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding. Immobilizing the leg may help prevent further injury, but it does not address the underlying bleeding issue or provide the necessary clotting factor.

C. Heating pad and administration of factor VIII concentrate: While the administration of factor VIII concentrate is appropriate, the use of a heating pad is not advisable, as it can potentially worsen bleeding by dilating blood vessels in the area.

D. Pressure on the site and administration of the required clotting factor.

Hemophilia is a bleeding disorder in which the blood doesn't clot properly. When a hemophilic child has a significant bruise or bleeding, it is crucial to administer the specific clotting factor that they are deficient in (Factor VIII or IX) to stop the bleeding. Applying pressure to the site can also help control bleeding.

In summary, option D is the priority because it directly addresses the bleeding issue in the child with hemophilia by applying pressure to the site and administering the necessary clotting factor. This is crucial in preventing further bleeding and complications.

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Correct Answer is ["2"]

Explanation

To calculate the number of tablets to administer, you need to convert the dose to micrograms (mcg) to match the tablet strength:

0.175 mg is equivalent to 175 mcg (since 1 mg = 1000 mcg).

Now, divide the required dose (175 mcg) by the strength of the available tablets (88 mcg/tablet):

175 mcg ÷ 88 mcg/tablet ≈ 1.9886

Rounding to the nearest whole number, you should administer 2 tablets per dose.

A. Joints. B. Intestines C. Brain D. Pericardium

Correct Answer is A

Explanation

Hemophilia is a genetic bleeding disorder in which the blood does not clot properly. It primarily affects the coagulation factors responsible for clot formation. In individuals with hemophilia, bleeding tends to occur most commonly in the joints, particularly in the large weight-bearing joints like the knees, elbows, and ankles. This is known as hemarthrosis and can lead to significant pain and joint damage.

While bleeding in other areas of the body can occur in hemophilia, such as the muscles or soft tissues, joint bleeding is one of the hallmark features of the condition.

The other options, B (intestines), C (brain), and D (pericardium), are less commonly associated with bleeding in hemophilia. Although bleeding can occur in various locations, joint bleeding is the most characteristic and commonly seen manifestation in individuals with hemophilia.

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Which intervention is a priority for a hemophilic child who has fallen and badly bruised his leg?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer levothyroxine 0.175 mg PO once a day. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

Correct Answer is ["2"]

Explanation

The nurse is assessing an adolescent child with the diagnosis of hemophilia. In which part of the body would the nurse expect bleeding to occur?

Correct Answer is A

Explanation

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