The nurse analyzes the laboratory results of a pediatric client with hemophilia. The nurse understands which result will most likely be abnormal in this client?

Partial thromboplastin time

Hemoglobin level

Platelet count

Hematocrit level

Answer and Explanation

The Correct Answer is A

A. Hemophilia is a bleeding disorder that affects the clotting process, and the partial thromboplastin time (PTT) is typically prolonged in individuals with hemophilia, indicating a deficiency in clotting factors.

B. Hemoglobin levels may remain normal unless the client experiences significant bleeding episodes.

C. Platelet count is usually normal in hemophilia, as the disorder affects clotting factors rather than platelet production.

D. Hematocrit levels may also remain normal unless there is significant bleeding, which would lower hematocrit due to blood loss.

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Correct Answer is D

Explanation

A. Applying topical diphenhydramine may help with local itching but is not the priority in a child with a known allergy to insect stings.

B. A cool pack can reduce swelling but is not the priority action if an allergic reaction is suspected.

C. Positioning the child with legs elevated is appropriate if there are signs of shock but does not address the immediate risk of airway compromise.

D. Assessing the client's airway and breathing rate is the priority because a child with a known allergy to insect stings is at risk for anaphylaxis, which can cause airway obstruction and respiratory distress. Early recognition and intervention are critical.

A. Notify the provider. B. Provide oral rehydration fluids. C. Perform a bladder scan at the bedside. D. Continue to monitor the client.

Correct Answer is D

Explanation

A. There is no need to notify the provider if urine output is within the normal range.

B. Oral rehydration may not be necessary if the child is adequately hydrated.

C. A bladder scan is not required if the urine output is within the normal range.

D. Continue to monitor the client as the urine output is within the normal range. For a 3-year-old child (15 kg), normal urine output is 1-2 mL/kg/hr. This child’s output is approximately 1.3 mL/kg/hr, which is normal.

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The nurse analyzes the laboratory results of a pediatric client with hemophilia. The nurse understands which result will most likely be abnormal in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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