A nurse is reinforcing teaching with the parents of a child who has hemophilia about the care of an injury that causes bleeding. Which of the following instructions should the nurse include in the teaching?
Position the injured extremity below the level of the heart
Apply an ice pack to the injury
Perform passive range of motion to the affected area
Administer ibuprofen
The Correct Answer is B
A. Position the injured extremity below the level of the heart is incorrect. When managing bleeding in hemophilia, the injured area should be elevated to reduce blood flow to the site, which can help minimize bleeding.
B. Apply an ice pack to the injury is correct. Applying ice can help constrict blood vessels and reduce swelling, which is important in controlling bleeding. Cold therapy is commonly used for hemophilia-related injuries to limit blood loss and decrease inflammation.
C. Perform passive range of motion to the affected area is incorrect. Passive range of motion should be avoided in the acute phase of injury because it can increase the risk of further injury or bleeding. Resting the injured limb and preventing movement is typically recommended.
D. Administer ibuprofen is incorrect. Ibuprofen is an NSAID that can interfere with blood clotting and increase the risk of bleeding, which is contraindicated in children with hemophilia. Acetaminophen is typically recommended for pain management in these cases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A hard-boiled egg is a safe and nutritious snack option for a toddler. It is rich in protein and essential nutrients, and it does not pose a choking hazard when properly prepared.
B. Raw carrots are not safe for toddlers because they are hard and can be a choking hazard. If offering carrots, they should be cooked until soft or cut into very small pieces.
C. Grapes are a common choking hazard for toddlers because they are round and can obstruct the airway. If offering grapes, they should be cut into small pieces.
D. Popcorn is also a choking hazard for toddlers because of its small, hard kernels and irregular shape. It is not recommended for young children.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}
Explanation
|
Findings |
No changes in condition |
Sign of potential worsening |
|
Skin temperature |
✓ |
|
|
Capillary refill |
✓ |
|
|
Pedal pulse |
✓ |
|
|
Sensation |
✓ |
|
|
Swelling |
✓ |
- Skin temperature: The left toes are now cool to touch, indicating a potential worsening condition.
- Capillary refill: Capillary refill greater than 3 seconds suggests compromised circulation, indicating a potential worsening condition.
- Pedal pulse: A pedal pulse of 1 in the left leg indicates decreased blood flow, suggesting a potential worsening condition.
- Sensation: The sensation of pins and needles in the left foot indicates potential nerve involvement, suggesting a potential worsening condition.
- Swelling: The swelling of the left toes remains unchanged, indicating no change in the condition.
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