A 12-year-old boy with hemophilia is hospitalized for hemarthrosis of his right knee. He is complaining of severe knee pain. Which intervention should the nurse implement?

Elevate and immobilize right knee in a flexed position.

Apply hot packs to the right knee.

Perform range of motion exercises to the right knee.

Give ibuprofen for pain.

Answer and Explanation

The Correct Answer is A

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Correct Answer is C

Explanation

A.Calcium acetate is not a standard medication that needs to be given with every meal for children with cystic fibrosis.

B.An albuterol inhaler is used for managing respiratory symptoms, such as bronchoconstriction and wheezing. It's not typically administered with every meal.

C.Pancreatic enzymes are the appropriate medication. Children with cystic fibrosis often have pancreatic insufficiency, which means their pancreas doesn't produce enough enzymes needed for proper digestion. Pancreatic enzyme replacement therapy is essential for these children to help them digest and absorb nutrients from their food. These enzymes should be administered with every meal to ensure effective digestion.

D.Empiric antibiotics are prescribed based on clinical indications and infection status. They are not routinely given with every meal.

A. Teach how to perform testicular self-examinations. B. Advise to avoid athletics to prevent injury. C. Assess knowledge of pubertal signs. D. Educate about erectile dysfunction.

Correct Answer is A

Explanation

A.Teaching how to perform testicular self-examinations is appropriate. Cryptorchidism refers to the condition in which one or both testicles do not descend into the scrotum. Orchiopexy is a surgical procedure used to correct cryptorchidism by placing the testicle(s) into the scrotum. While the primary purpose of orchiopexy is to ensure proper testicular development and function, it's important for individuals with a history of cryptorchidism and orchiopexy to be aware of their testicular health.
Teaching how to perform testicular self-examinations is an important aspect of anticipatory guidance. This education empowers the adolescent to monitor for any changes or abnormalities in the testicles, which may include signs of testicular cancer or other issues. Early detection and prompt medical attention can lead to better outcomes.

B.Advising to avoid athletics to prevent injury is inappropriate. While avoiding injury is important, participation in athletics is generally safe after orchiopexy. This option does not directly address the specific concern related to testicular health.

C.Assessing knowledge of pubertal signs inappropriate. While assessing knowledge of pubertal signs is important, it does not directly address the adolescent's history of orchiopexy.

D. Educating about erectile dysfunction is inappropriate. Erectile dysfunction is not typically a primary concern in adolescents with a history of orchiopexy. This option does not provide relevant anticipatory guidance for this specific situation.

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A 12-year-old boy with hemophilia is hospitalized for hemarthrosis of his right knee. He is complaining of severe knee pain. Which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a school-age child with cystic fibrosis and reviews the admission medication prescriptions. Which medication should the nurse obtain a prescription for to be administered with every meal?

Correct Answer is C

Explanation

An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?

Correct Answer is A

Explanation

A 16-year-old adolescent with acute myelocytic leukemia is receiving chemotherapy via an implanted medication port at the outpatient oncology clinic. Which action should the nurse implement when the infusion is complete?

A three-year old child with neuroblastoma begins experiencing epistaxis episodes and bruising to the extremities over the past month. Which finding in the medical record should the nurse expect?

The nurse knows that a shunt procedure is the therapy of choice in almost all cases of hydrocephalus. Which is the most common reason for revision of a child's ventriculoperitoneal shunt?

How should the nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle cap) to shampoo the child's hair?

A healthy 2-day-old newborn received the first dose of hepatitis B prior to being discharge home with the parents. The nurse should instruct the parents to return to the clinic for the infant's next dose of hepatitis B in how many months?

The healthcare provider prescribes amoxicillin-clavulanic acid suspension 300 mg by mouth (PO) three times daily (TID) for a child with a lower respiratory infection. The bottle is labelled, 250 mg/5 mL. How many mL should the nurse administer in a single dose? (Enter numeric value only.)