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?

Perform passive range-of-motion to the affected area.

Apply an ice pack to the injury.

Position the injured extremity below the level of the heart.

Administer ibuprofen.

Answer and Explanation

The Correct Answer is B

A. Performing passive range-of-motion exercises can cause further bleeding and should be avoided during an acute injury.
B. Applying an ice pack helps to constrict blood vessels, reduce bleeding, and minimize swelling, making it a recommended action for managing injuries in hemophilia.
C. Positioning the injured extremity below the level of the heart can increase blood flow to the area and worsen the bleeding.
D. Administering ibuprofen is not recommended as it can inhibit platelet function and increase the risk of bleeding. Acetaminophen is a safer alternative for pain relief in children with hemophilia.

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Correct Answer is D

Explanation

A. Tinnitus is not commonly associated with hypocalcemia. It is more often related to issues with the auditory system or certain medications.
B. Elevated blood pressure is not a typical sign of hypocalcemia. Hypocalcemia usually affects neuromuscular function rather than causing changes in blood pressure.
C. Constipation is not commonly linked to hypocalcemia. More frequent symptoms include neuromuscular irritability and spasms.
D. Muscle tremors are a common finding in hypocalcemia due to increased neuromuscular excitability. Hypocalcemia can lead to symptoms such as muscle cramps, spasms, and tremors due to the low levels of calcium affecting nerve and muscle function.

A. A 6-year-old child who is toilet trained and bedwetting B. An 8-month-old infant who has stranger anxiety C. An 18-month-old child who has several bruises on their shins D. A 2-year-old child who kicks and screams when their parent leaves

Correct Answer is A

Explanation

A. Bedwetting in a toilet-trained child can be a sign of emotional distress or trauma, which may indicate maltreatment and should be further investigated.
B. Stranger anxiety is a normal developmental stage for an 8-month-old infant and does not suggest maltreatment.
C. Bruises on the shins of an 18-month-old child are common due to normal toddler activity and do not necessarily indicate maltreatment.
D. Separation anxiety, including kicking and screaming when a parent leaves, is typical behavior for a 2-year-old child and does not suggest maltreatment.

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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?

Nursing Test Bank

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