To meet the social support needs of a 10 year-old sibling of a child with a complex chronic condition, the most appropriate nursing action is to

Provide activities for the sing to do at home

Avoid interruptions by coordinating using actions

Anwer questions honestly and clearly

Encourage the sibling to write in a journal

Answer and Explanation

The Correct Answer is C

A. Provide activities for the sibling to do at home: While providing activities can be a good way to engage the sibling and offer a distraction, it may not address their need for understanding and emotional support. Answering questions and providing information about the condition is more directly beneficial in this context.

B. Avoid interruptions by coordinating using actions: This option is not clear and may not directly address the social support needs of the sibling. It's important to have open communication and address their concerns rather than coordinating actions to avoid interruptions.

C. Answer questions honestly and clearly.

In a situation where a 10-year-old sibling of a child with a complex chronic condition needs social support, providing honest and clear answers to their questions is essential. It's important to address their concerns and provide information in an age-appropriate manner. Children can feel anxious or confused when a sibling has a complex chronic condition, and providing honest and clear answers helps them understand the situation better and reduces their anxiety.

D. Encourage the sibling to write in a journal: While journaling can be a helpful coping strategy, it may not be the most immediate response to their social support needs. Answering questions and providing emotional support should come first.

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Correct Answer is D

Explanation

A. Appropriate dose of aspirin and rest: Aspirin is an antiplatelet medication that can worsen bleeding in individuals with hemophilia. It should be avoided. Rest alone is not sufficient in this situation.

B. Immobilization of the leg and a dose of ibuprofen: Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding. Immobilizing the leg may help prevent further injury, but it does not address the underlying bleeding issue or provide the necessary clotting factor.

C. Heating pad and administration of factor VIII concentrate: While the administration of factor VIII concentrate is appropriate, the use of a heating pad is not advisable, as it can potentially worsen bleeding by dilating blood vessels in the area.

D. Pressure on the site and administration of the required clotting factor.

Hemophilia is a bleeding disorder in which the blood doesn't clot properly. When a hemophilic child has a significant bruise or bleeding, it is crucial to administer the specific clotting factor that they are deficient in (Factor VIII or IX) to stop the bleeding. Applying pressure to the site can also help control bleeding.

In summary, option D is the priority because it directly addresses the bleeding issue in the child with hemophilia by applying pressure to the site and administering the necessary clotting factor. This is crucial in preventing further bleeding and complications.

A. 3% B. 8% C. 0.5% D. 5%

Correct Answer is B

Explanation

The reticulocyte count is a measure of young, immature red blood cells. An elevated reticulocyte count indicates the bone marrow's ability to respond to anemia by producing new red blood cells.

For an infant, a reticulocyte count of 8% would be an indicator of severe anemia. An elevated reticulocyte count suggests the body is trying to compensate for the decreased number of mature red blood cells by producing more young ones. This is often seen in severe anemia as the body attempts to increase the red blood cell count.

The other options (A, C, and D) represent normal or less severe reticulocyte counts.

A reticulocyte count of 3% is within the normal range.

A reticulocyte count of 0.5% is on the lower side but not as severe as 8%.

A reticulocyte count of 5% indicates a response to anemia but is not as elevated as 8%.

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To meet the social support needs of a 10 year-old sibling of a child with a complex chronic condition, the most appropriate nursing action is to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention is a priority for a hemophilic child who has fallen and badly bruised his leg?

Correct Answer is D

Explanation

Which of the following Reticulocyte count is an indicator of severe anemia for an infant?

Correct Answer is B

Explanation

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