A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Fresh frozen plasma

Recombinant

Packed RBCS

Prophylactic antibiotics

Answer and Explanation

The Correct Answer is B

A. Fresh frozen plasma: Fresh frozen plasma contains clotting factors, including factor VIII, but it is not the primary treatment for hemophilia A. While it can be used in emergency situations to temporarily increase clotting factor levels, it is not typically administered prophylactically before dental procedures.
B. Recombinant factor VIII: This is the correct answer. Recombinant factor VIII is the treatment of choice for individuals with hemophilia A. It is administered to replace the deficient factor VIII in the blood, thereby promoting clot formation and preventing excessive bleeding during surgical procedures such as wisdom teeth extractions.
C. Packed red blood cells (RBCs): Packed red blood cells are not typically indicated for the treatment of hemophilia A. While they may be necessary if significant blood loss occurs during the procedure, the primary treatment is replacement of the deficient clotting factor.
D. Prophylactic antibiotics: Prophylactic antibiotics may be prescribed to prevent infection following dental procedures, especially in individuals with bleeding disorders who are at increased risk of infection due to compromised immune function. However, the primary treatment for hemophilia A prior to dental procedures is replacement therapy with clotting factor concentrates like recombinant factor VIII.

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Correct Answer is C

Explanation

A. Take the medication with dairy products to increase absorption: Calcium carbonate antacids should not be taken with dairy products as they can reduce the absorption of calcium due to the formation of insoluble calcium salts. It's recommended to take calcium carbonate antacids between meals or with a light snack, but not with dairy products.
B. Decrease bulk in the diet to counteract the adverse effect of diarrhea: Calcium carbonate antacids can sometimes cause constipation rather than diarrhea. Increasing dietary fiber and fluid intake may help prevent constipation associated with the use of these antacids. Therefore, advising to decrease bulk in the diet is not appropriate.
C. Draw a glass of water after taking the medication: Calcium carbonate antacids should be taken with a full glass of water to ensure proper dissolution in the stomach and to prevent the risk of gastrointestinal irritation or obstruction. Water helps facilitate the dissolution and absorption of the medication, reducing the risk of adverse effects.
D. Reduce sodium intake: Calcium carbonate antacids may contain sodium, but reducing sodium intake is not a specific recommendation related to taking this medication. However, it's generally advisable to limit sodium intake for overall health, especially for individuals with conditions such as hypertension or heart failure.

A. The client who has a chest tube to water seal B. The client who has a nasogastric (NG) tube to suction C. The client who has an indwelling urinary catheter to gravity drainage D. The client who has a tracheostomy tube attached to humidified oxygen

Correct Answer is B

Explanation

A. The client who has a chest tube to water seal: A chest tube to water seal is primarily used to drain air or fluid from the pleural space. While the client with a chest tube may experience electrolyte imbalances due to fluid loss, hypokalemia is not directly associated with this type of drainage system.
B. The client who has a nasogastric (NG) tube to suction: Clients with nasogastric tubes to suction may experience hypokalemia due to the loss of gastric contents, which contain potassium. Suctioning removes gastric secretions, including potassium, from the body, leading to the risk of electrolyte imbalances such as hypokalemia.
C. The client who has an indwelling urinary catheter to gravity drainage: Gravity drainage of urine via an indwelling urinary catheter does not typically lead to significant potassium loss. While urinary catheterization may carry a risk of electrolyte imbalances over time, it is not as directly associated with hypokalemia as suctioning gastric contents.
D. The client who has a tracheostomy tube attached to humidified oxygen: Humidified oxygen delivery through a tracheostomy tube does not directly affect potassium levels. While clients receiving oxygen therapy may have other respiratory-related issues, hypokalemia is not typically a concern related to this type of therapy.

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A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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