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)

Answer and Explanation

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.

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Correct Answer is ["260"]

Explanation

To calculate the total fluid intake, we need to convert all the measurements to milliliters (mL) and then add them up:

1 cup = 240 mL

1 oz = 30 mL

Given fluid intake:

Juice: ½ cup = 0.5 * 240 mL = 120 mL

Gelatin: 3 oz = 3 * 30 mL = 90 mL

Ice pop: 1 oz = 1 * 30 mL = 30 mL

Ginger ale: 20 mL

Total fluid intake = 120 mL + 90 mL + 30 mL + 20 mL = 260 mL

So, the nurse should record 260 mL as the child's fluid intake.

A. Broth B. Diluted apple juice C. Oral rehydration solution D. Water

Correct Answer is C

Explanation

A. Broth: While broth can be a source of fluids, it does not contain the appropriate balance of electrolytes needed to rehydrate the body effectively. Gastroenteritis can cause significant fluid and electrolyte loss, so an oral rehydration solution (ORS) with the right proportions of salts and sugars is essential to replace these losses adequately.
B. Diluted apple juice: Diluted apple juice may not provide the proper electrolyte balance needed for rehydration in cases of gastroenteritis. In fact, apple juice is not recommended during episodes of acute gastroenteritis, as it can worsen diarrhea due to its high sugar content. This can lead to further dehydration and discomfort.
C. Oral rehydration solution (ORS): This is the correct answer. Oral rehydration solution is specifically designed to replace lost fluids and electrolytes in cases of gastroenteritis. It contains the right balance of salts and sugars to facilitate effective absorption in the intestines and help rehydrate the body. ORS is the recommended fluid for managing dehydration caused by gastroenteritis in children.
D. Water: While water is essential for hydration, it is not enough to effectively treat dehydration caused by gastroenteritis. Plain water does not contain the necessary electrolytes like sodium, potassium, and chloride, which are lost during episodes of diarrhea and vomiting. Giving water alone may not adequately rehydrate the child and could potentially worsen the dehydration.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed ½ cup of juice, and 3 oz gelatin. 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?

Correct Answer is ["260"]

Explanation

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?

Correct Answer is C

Explanation

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