Which intervention is a priority for a hemophilic child who has fallen and badly bruised his leg?
Appropriate dose of aspirin and rest
Immobilization of the leg and a dose of ibuprofen
Heating pad and administration of factor Vill concentrate
Pressure on the site and administration of the required clotting factor
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased pulse rate.
Iron deficiency anemia can lead to a reduced oxygen-carrying capacity in the blood. As a compensatory mechanism, the heart may pump faster to deliver more oxygen to tissues. This can result in an increased pulse rate. Children with iron deficiency anemia may also experience weakness, fatigue, and pallor.
B. Increased blood pressure is not a common symptom of iron deficiency anemia. In fact, iron deficiency anemia can often lead to lower blood pressure due to the reduced oxygen-carrying capacity of the blood.
C. Warm skin is not a typical symptom of iron deficiency anemia. Skin temperature may not be directly affected by this condition.
D. Cyanosis of the nail beds is not a symptom of iron deficiency anemia. Cyanosis refers to bluish discoloration of the skin or mucous membranes due to reduced oxygen levels in the blood, which is more commonly associated with respiratory or cardiovascular issues. Iron deficiency anemia primarily affects the oxygen-carrying capacity of the blood but does not lead to cyanosis.
Correct Answer is C
Explanation
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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