Which statement is true regarding hemophilia?

Hemophilia is not hereditary in nature.

Hemophilia can be treated by replacement therapy.

Hemophilia is an X-linked dominant genetic disorder.

Hemophilia B is the most common form of hemophilia.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Hemophilia is a hereditary disorder caused by a deficiency of specific clotting factors, and it is indeed hereditary in nature. This statement is incorrect.

Choice B rationale:

Hemophilia is a bleeding disorder where the blood does not clot properly. Replacement therapy, which involves infusing clotting factor concentrates, is a standard treatment for hemophilia. This statement is correct.

Choice C rationale:

Hemophilia is an X-linked recessive genetic disorder, not dominant. Males are more commonly affected because they have only one X chromosome, and if it carries the defective gene, they will have hemophilia. Females have two X chromosomes, and if one X chromosome carries the defective gene, the other X chromosome can compensate, making them carriers but not typically affected.

Choice D rationale:

Hemophilia A is the most common form of hemophilia, not hemophilia B.

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Correct Answer is D

Explanation

Choice A rationale:

Fullness from ascites is a symptom associated with conditions like liver cirrhosis, not directly related to chronic heart failure. Ascites is the accumulation of fluid in the abdominal cavity, causing a feeling of fullness and abdominal discomfort.

Choice B rationale:

Hypoproteinemia, a condition characterized by low levels of proteins in the blood, can lead to fluid retention and edema. However, it is not a direct cause of frequent urination. Frequent urination in this context is more likely related to increased fluid volume in the body, which can be caused by increased renal perfusion in the supine position due to fluid redistribution from the lower extremities to the kidneys.

Choice C rationale:

Hypoperfusion to the brain can lead to neurological symptoms, but it does not directly cause frequent urination. Frequent urination is often related to the kidneys' ability to filter excess fluid and excrete it as urine.

Choice D rationale:

Increased renal perfusion in the supine position can cause frequent urination, especially at night. When a person with chronic heart failure lies down, fluid that has accumulated in the lower extremities (edema) during the day is redistributed to the kidneys due to the change in body position. This increased renal perfusion results in an increased production of urine, leading to nocturia (frequent urination at night) and disrupting the patient's ability to sleep well. This symptom is characteristic of heart failure-related fluid overload and is an important clinical sign indicating worsening heart failure.

A. Drinks 14 glasses of water daily. B. Shaves once a day using an electric razor. C. Uses an alcohol-based mouthwash twice a day. D. Brushes teeth with a soft-bristle toothbrush twice a day.

Correct Answer is C

Explanation

Choice A rationale: Drinking 14 glasses of water daily is not specifically harmful for patients with thrombocytopenia, though it is important to ensure fluid intake is balanced with the individual's needs. However, excessive water intake is generally not related to increased bleeding risks, which is a primary concern for patients with low platelet counts.

Choice B rationale: Shaving once a day using an electric razor is an appropriate precaution for patients with thrombocytopenia. Electric razors are less likely to cause cuts compared to traditional razors, thereby reducing the risk of bleeding. This measure is important for individuals with low platelet counts to minimize the risk of bleeding from minor injuries.

Choice C rationale: Using an alcohol-based mouthwash twice a day is not recommended for patients with thrombocytopenia. Alcohol-based mouthwash can cause dryness and irritation of the mucous membranes, which may lead to bleeding, especially in individuals with low platelet counts. Instead, non-alcoholic mouthwashes should be used to maintain oral hygiene without the risk of causing mucosal damage.

Choice D rationale: Brushing teeth with a soft-bristle toothbrush twice a day is recommended for patients with thrombocytopenia. Soft-bristle toothbrushes help reduce the risk of gum injury and bleeding, which is important for individuals with low platelet counts. Maintaining good oral hygiene with minimal trauma is crucial for these patients

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Which statement is true regarding hemophilia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse suspects that which condition associated with chronic heart failure is the cause of a patient's inability to sleep well due to frequent urination?

Correct Answer is D

Explanation

The nurse provides education to a patient with thrombocytopenia about precautions to be taken at home. The nurse identifies that further teaching is needed when the patient performs which action?

Correct Answer is C

Explanation

The nurse receives information about the assigned patients during shift report.Which patient would the nurse assess first?

Which laboratory report finding would support the nurse's conclusion that a patient has thalassemia major? Select all that apply.One, some, or all responses may be correct.

The nurse provides discharge teaching to a patient with venous leg ulcers.Which statement made by the patient indicates the need for further education?

Which instruction would the nurse include in the teaching plan for a patient newly diagnosed with microcytic hypochromic anemia?

With which term will the nurse document the finding after noting multiple 1-mm red macules when assessing the skin of a patient with leukemia and thrombocytopenia?

A patient is diagnosed with primary hypertension and asks the nurse what caused the condition.Which response would the nurse give?

A female patient with chronic hypertension is admitted to the emergency department with a sudden rise in blood pressure (BP) Which question is the priority for the nurse to ask the patient?

Which goal is a primary objective for a patient who has chronic heart failure (HF)?