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 ["A","C","D","E"]

Explanation

A. Rotavirus (RV): Rotavirus vaccine is routinely recommended for infants to protect against rotavirus infection, which can cause severe diarrhea and dehydration in young children. It is typically administered orally in multiple doses starting at around 2 months of age.
B. Human papillomavirus (HPV): The HPV vaccine is not routinely administered to infants at 1 year of age. It is typically recommended for preteens and adolescents to protect against HPV-related cancers and genital warts.
C. Measles, mumps rubella (MMR): The MMR vaccine is routinely given to infants around 1 year of age to protect against measles, mumps, and rubella (German measles). It is typically administered as a single injection.
D. Varicella (VAR): The varicella vaccine is routinely recommended for infants to protect against chickenpox (varicella) infection. It is typically administered as a single injection around 1 year of age.
E. Diphtheria, tetanus and acellular pertussis (DTaP): The DTaP vaccine is routinely given to infants to protect against diphtheria, tetanus, and pertussis (whooping cough). It is typically administered as a series of injections starting at around 2 months of age.

A. Live function tests B. Thyroid hormone assay C. Erythrocyte sedimentation rate D. Brain natriuretic peptide

Correct Answer is B

Explanation

A. Liver function tests: While lithium can affect liver function in some cases, routine liver function tests are not typically required before administering lithium. These tests are more relevant for medications metabolized by the liver.
B. Thyroid hormone assay: This is the correct action. Regular monitoring of thyroid function, including thyroid hormone levels, is essential for clients taking lithium, as lithium therapy can lead to hypothyroidism or exacerbate preexisting thyroid conditions. Checking thyroid function before administering lithium helps ensure the client's thyroid status is within the therapeutic range and identifies any abnormalities that may require intervention.
C. Erythrocyte sedimentation rate (ESR): ESR is a nonspecific marker of inflammation and is not directly relevant to monitoring lithium therapy. While lithium can affect renal function and electrolyte balance, ESR does not specifically assess these parameters.
D. Brain natriuretic peptide (BNP): BNP is a marker of cardiac function and is not routinely monitored in clients taking lithium. While lithium can have cardiovascular effects, routine BNP testing is not necessary before administering lithium. Monitoring for cardiovascular side effects of lithium typically involves assessing for symptoms such as arrhythmias or changes in blood pressure and heart rate.

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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?

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