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 D
Explanation
A. Get 8 hours of sleep at night and take naps during the day:
While adequate sleep is generally important for overall health, it may not be the most critical factor for a patient with aplastic anemia. Aplastic anemia primarily affects blood cell production, and managing infection risk and blood counts are more crucial in this context.
B. Practice yoga and meditation to decrease stress and anxiety:
Stress reduction techniques, such as yoga and meditation, can be beneficial for anyone's overall well-being, but it's not the top priority for someone with aplastic anemia. Managing stress is essential, but again, reducing the risk of infections and maintaining adequate blood counts are more critical.
C. Eat animal protein and dark leafy vegetables each day:
Proper nutrition is essential for patients with aplastic anemia, as it can help support the production of red blood cells and maintain overall health. However, while a balanced diet is important, avoiding infections and minimizing exposure to contagions is more pressing.
D. Avoid exposure to others with acute infection:
This is the most crucial concept for patients with aplastic anemia. Aplastic anemia leads to a weakened immune system, making the patient highly susceptible to infections. Exposure to individuals with acute infections can be life-threatening for these patients. Preventing infections and maintaining adequate blood counts are paramount in the care of individuals with aplastic anemia.
Correct Answer is D
Explanation
A. Thrombocytopenia: Thrombocytopenia is a condition characterized by a low platelet count, and it is not a typical feature of iron-deficiency anemia.
B. Increased Total Iron-binding Capacity: In iron-deficiency anemia, the Total Iron-binding Capacity (TIBC) is typically increased as the body attempts to compensate for the low iron levels by increasing its capacity to bind and transport iron.
C. Decreased Folate Levels: While iron-deficiency anemia and folate-deficiency anemia are both forms of anemia, decreased folate levels are more characteristic of folate-deficiency anemia, which is a separate condition.
D. Microcytic Red Blood Cells.
Iron-deficiency anemia is characterized by a decrease in the body's iron stores, which in turn affects the production of hemoglobin and red blood cells. This results in the formation of microcytic (smaller than normal) red blood cells. These smaller red blood cells are a typical finding in iron-deficiency anemia.
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