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An adolescent client who has successfully managed hemophilia for the past 10 years is evaluated by the nurse.
Which behavior best evidences the client’s adjustment to the disorder as an adolescent?

A.

Keeps plastic bags of ice in the freezer.

B.

Wears extra pads when playing football.

C.

Serves as a counselor at a camp for hemophiliacs.

D.

Chews food slowly to prevent injury to the gums.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Keeping plastic bags of ice in the freezer is not specifically indicative of successful management of hemophilia. While ice can be used to manage acute joint bleeds, it does not reflect the overall management of the condition.

Choice B rationale

Wearing extra pads when playing football could indicate an awareness of the risk of injury, but it does not necessarily reflect successful management of hemophilia. In fact, contact sports like football are generally not recommended for individuals with hemophilia due to the risk of bleeding.

Choice C rationale

Serving as a counselor at a camp for hemophiliacs could indicate successful management of hemophilia. It suggests that the individual has not only learned to manage their own condition, but is also able to provide guidance and support to others with the same condition.

Choice D rationale

Chewing food slowly to prevent injury to the gums is a precautionary measure, but it does not necessarily indicate successful management of hemophilia.


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Related Questions

Correct Answer is C

Explanation

Choice A rationale

Blood pressure variance across extremities is not typically associated with unrepaired ventricular septal defect and heart failure in a toddler.

Choice B rationale

Hypotension is not a typical finding in toddlers with unrepaired ventricular septal defect and heart failure.

Choice C rationale

Tachycardia, or a fast heart rate, is a common symptom in toddlers with unrepaired ventricular septal defect and heart failure. This is because the heart has to work harder to pump blood through the body.

Choice D rationale

While a pulse oximetry reading within defined limits is ideal, it is not a typical finding in toddlers with unrepaired ventricular septal defect and heart failure.

Correct Answer is {"dropdown-group-1":"C"}

Explanation

A. Croup

  • Rationale: Croup is a condition characterized by a barking cough and stridor (a high-pitched breathing sound), often accompanied by noisy breathing. It is a common cause of respiratory distress in children and can present with symptoms similar to those described.

B. Asthma

  • Rationale: Asthma can present in young children with symptoms such as wheezing, shortness of breath, and rapid breathing. However, diagnosing asthma in very young children can be challenging due to the variability of symptoms and the overlap with other respiratory conditions.

C. Bronchiolitis

  • Rationale: The child’s symptoms of “fast and noisy breathing” could be indicative of bronchiolitis, a common lung infection in young children. This condition is often preceded by symptoms of a common cold, such as sneezing and a runny nose, which the child had the previous week.

D. Foreign Body Aspiration

  • Rationale: Foreign body aspiration should be considered in young children who present with sudden onset of respiratory symptoms, including noisy or rapid breathing, particularly if there is a history of coughing or choking.

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