The nurse is teaching the family of a child, age 8 years, with moderate hemophilia about home care. The best home treatment and therapy for a joint injury is:
factor Vill concentrates.
elevation and application of ice to involved joint
nonsteroidal anti-inflammatory drugs (NSAIDs).
DDAVP (synthetic vasopressin)
The Correct Answer is B
For a child with hemophilia experiencing a joint injury, the best home treatment and therapy would be elevation and the application of ice to the affected joint. This approach helps reduce swelling and minimize bleeding in the joint.
Option A (factor VIII concentrates) is a treatment for hemophilia but is typically administered intravenously to replace the deficient clotting factor in the blood. It is not a home treatment for joint injuries.
Option C (nonsteroidal anti-inflammatory drugs - NSAIDs) may be used to manage pain and inflammation, but they do not address the underlying bleeding disorder in hemophilia or directly treat joint injuries.
Option D (DDAVP - synthetic vasopressin) is used in some types of hemophilia to temporarily raise factor VIII levels, but it is not typically used for joint injuries or as a home treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Infants with gastroesophageal reflux should be placed in an infant seat or an upright position after feedings to help prevent regurgitation and aspiration of stomach contents into the airway. Placing the infant in an upright position facilitates gravity-assisted movement of stomach contents down and away from the esophagus, reducing the likelihood of reflux. It is essential to ensure that the infant seat is appropriate for the child's age and size and that the infant is safely secured within it.
The other options are not recommended for infants with gastroesophageal reflux:
When caring for an infant with gastroesophageal reflux (GER), the nurse should place the infant in an infant seat or an upright position following feedings. Placing the infant in an upright position helps to reduce the risk of reflux and regurgitation. Gravity can assist in keeping the stomach contents from flowing back into the esophagus, reducing the potential for discomfort and reflux symptoms.
The other options are not recommended for an infant with GER:
A. Placing the infant in a prone position (lying on the stomach) after feedings can increase the risk of choking and aspiration. It is essential to avoid this position, especially after feeding, to reduce the risk of reflux and its complications.
B. Placing the infant on his left side is not the preferred position for GER management. While the left side is often recommended for sleeping to reduce the risk of sudden infant death syndrome (SIDS), it is not specifically indicated for GER management after feedings.
D. Placing the infant on his right side is also not the preferred position for GER management after feedings. The right side does not provide the benefits of an upright position in reducing the risk of reflux and regurgitation.
Correct Answer is D
Explanation
When caring for a child with acute appendicitis, the nurse should anticipate an elevated white blood cell count (WBC) in the laboratory values. A high WBC count is a common finding in acute appendicitis, as it indicates an inflammatory response and infection in the body. The body's immune system responds to the inflammation caused by the infected appendix, leading to an increase in WBCs to fight off the infection.
The other options are not necessarily specific to acute appendicitis:
A. RBC 4.2 million/mm³: The red blood cell count (RBC) measures the number of red blood cells in the bloodstream. This value may be within the normal range, but it is not the primary marker for diagnosing or monitoring acute appendicitis.
B. Lymphocytes 3,000/mm3: Lymphocytes are a type of white blood cell involved in the body's immune response. While changes in lymphocyte levels can occur during inflammation, it is not the primary marker for diagnosing or monitoring acute appendicitis.
C. Neutrophils 3.000/mm³: Neutrophils are a type of white blood cell that increases in response to infection and inflammation. However, the absolute neutrophil count is not as relevant as the overall WBC count in determining the presence and severity of acute appendicitis.
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.