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

Explanation

A. Erythema (redness) and edema (swelling) of the affected ear are classic signs of otitis media, an infection or inflammation of the middle ear. In otitis media, the middle ear becomes inflamed and fluid accumulates behind the eardrum, leading to redness and swelling of the tympanic membrane and surrounding tissues.
B. Tugging on the affected ear lobe is a common behavior observed in children with otitis media. Ear pulling or rubbing is often a sign of ear pain or discomfort, which can result from the pressure caused by the accumulation of fluid and inflammation in the middle ear.
C. Pain when manipulating the affected ear lobe is another common symptom of otitis media. Children with this condition may experience tenderness or discomfort when the affected ear is touched or manipulated due to the underlying inflammation and infection.
D. Clear drainage from the affected ear is not typically associated with otitis media. Instead, otitis media is characterized by the presence of middle ear effusion, which may manifest as fluid behind the eardrum. The drainage from otitis media is more commonly serous or purulent rather than clear.

A. At the beginning B. Before auscultating the chest and abdomen C. At the end D. Before examining the head and neck

Correct Answer is C

Explanation

A. At the beginning: Examining the tympanic membrane at the beginning of the physical examination may not be ideal because it disrupts the flow of the assessment. It's more logical to start with general observations and proceed to more specific areas of assessment.
B. Before auscultating the chest and abdomen: While examining the tympanic membrane before auscultating the chest and abdomen may seem reasonable, it's not the optimal sequence. The nurse should focus on assessing major body systems before proceeding to more specific areas, such as the ears.
C. At the end: This is the correct approach. After completing the assessment of major body systems, such as the cardiovascular, respiratory, and abdominal systems, the nurse can then proceed to examine the ears, including the tympanic membrane. This sequence ensures a systematic and organized assessment.
D. Before examining the head and neck: While examining the tympanic membrane before the head and neck may seem logical due to proximity, it's more practical to conduct a comprehensive head-to-toe assessment first before focusing on specific areas like the ears.

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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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Naxlex Comprehensive Predictor Exams

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Explanation

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