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 D
Explanation
A. Asks many questions is incorrect. While toddlers are curious and begin to use two-word phrases around 24 months, the phase of asking many questions ("why" stagE. is more characteristic of preschool-aged children (3–5 years).
B. Shares toys with others is incorrect. At 24 months, children are still egocentric and do not typically engage in cooperative play. Sharing and taking turns develop later in early childhood.
C. Has an imaginary playmate is incorrect. Imaginary friends are more common in preschool-aged children, typically around 3 to 5 years old.
D. Demonstrates parallel play is correct. Toddlers around 24 months engage in parallel play, where they play alongside other children without direct interaction. This is a normal stage of social development before cooperative play emerges.
Correct Answer is B
Explanation
A. "I will apply the antibiotic ointment in the morning and use the drops at bedtime." is incorrect. If an antibiotic is prescribed, either drops or ointment are typically used, but not both. Additionally, viral conjunctivitis does not require antibiotics, so treatment depends on the underlying cause.
B. "I will use a separate washcloth to clean the affected eye." is correct. Using a separate washcloth prevents the spread of infection to the unaffected eye or to others. Conjunctivitis is highly contagious, and proper hygiene is essential in preventing its spread.
C. "I will wipe from the outer to inner corners of the eye to remove secretions." is incorrect. The correct technique is to wipe from the inner to the outer canthus to prevent spreading debris and infection toward the tear ducts.
D. "I will leave a warm, moist compress on the affected eye for 10 minutes." is incorrect. While warm compresses can help soothe irritation, prolonged moisture can create an environment for bacterial growth. Shorter applications are recommended, and cool compresses may also provide relief.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.