A child with hemophilia is experiencing a bleeding episode. After applying pressure to the bleeding site, what is the priority intervention?

Encourage active range of motion exercises

Administer antibiotics as prescribed

Apply heat to the affected area

Administer factor replacement therapy as prescribed

Answer and Explanation

The Correct Answer is D

A. Encourage active range of motion exercises is incorrect. Active range of motion exercises should be avoided during a bleeding episode, as it may exacerbate the bleeding or cause further injury. Hemophilia requires rest and stabilization during bleeding episodes.

B. Administer antibiotics as prescribed is incorrect. Antibiotics are typically not needed for bleeding episodes unless there is a risk of infection from a wound. The primary concern during a bleeding episode is managing the bleeding, not preventing infection.

C. Apply heat to the affected area is incorrect. Heat is not recommended during a bleeding episode as it can increase blood flow and worsen bleeding. Instead, ice may be applied to help control bleeding and reduce swelling.

D. Administer factor replacement therapy as prescribed is correct. The priority in managing bleeding in a child with hemophilia is to administer factor replacement therapy, which helps to replace the missing clotting factors in the blood, enabling proper clot formation and stopping the bleeding.

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Correct Answer is A

Explanation

A. "Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply." is the correct explanation. Intussusception occurs when a part of the intestine telescopes into an adjacent section, causing a blockage that can cut off blood supply and lead to tissue death. This is a medical emergency requiring prompt treatment.

B. "Intussusception results from the twisting of the intestine, causing a blockage in the passage of food." is incorrect. While intussusception causes a blockage, it does not result from twisting; it involves one segment of the intestine sliding into another.

C. "Intussusception is a congenital condition where the layers of the intestinal wall do not form properly." is incorrect. Intussusception is not congenital in nature; it can occur in otherwise healthy infants and children but is not a result of improper formation of the intestinal wall layers.

D. "Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge." is inaccurate. Intussusception does not result from weakened abdominal muscles but rather from one part of the intestine slipping into another, which may cause the blockage and reduced blood flow.

A. Neurological assessment B. Basic metabolic panel C. Blood pressure/heart rate D. Abdominal assessment E. Complete blood count F. Pain assessment

Correct Answer is ["A","B","C","E","F"]

Explanation

A. Neurological assessment is critical in identifying potential complications, especially in cases of head injury, infection, or brain-related conditions. A change in mental status or neurological findings (e.g., confusion, loss of consciousness) warrants immediate follow-up.

B. Basic metabolic panel provides key information on electrolyte imbalances, kidney function, and acid-base status. Imbalances or abnormalities, such as hyperkalemia or hyponatremia, can indicate life-threatening conditions.

C. Blood pressure/heart rate is crucial to monitor because abnormalities in these vital signs can indicate cardiovascular instability, shock, or autonomic dysfunction. Significant changes require immediate intervention.

D. Abdominal assessment is important but not always immediately urgent unless signs of acute abdominal issues (e.g., severe pain, distention, or bleeding) are present.

E. Complete blood count is essential for monitoring for signs of infection, anemia, or bleeding disorders. Abnormalities such as low hemoglobin or a high white blood cell count require further investigation.

F. Pain assessment is important but may not always indicate an immediate life-threatening issue. However, uncontrolled pain or new-onset severe pain can signal a complication, such as infection or tissue damage, which needs prompt attention.

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A child with hemophilia is experiencing a bleeding episode. After applying pressure to the bleeding site, what is the priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?

Correct Answer is A

Explanation

Which of the following findings indicate a potential complication that requires immediate follow-up? (Select All that Apply.)

Correct Answer is ["A","B","C","E","F"]

Explanation

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