Nokea
A child with hemophilia is hospitalized with hemarthrosis. Which should the nurse caring for that child expect to implement when following the plan of care?
- A. Use analgesia sparingly.
- B. Apply warm compresses to reduce hemorrhages in the joint.
- C. Encourage vigorous joint movement exercises to keep the joints flexible.
- D. Reinforce instructions to receive factor VIII infusions prophylactically
Correct Answer: D
Rationale: Prophylactic infusions of factor VIII reduce episodes of hemarthrosis.
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The nurse is reading the results of a white blood cell count differential. Which abnormal reading indicates a severe allergic reaction?
- A. Increased basophil count
- B. Increased lymphocyte count
- C. Increased monocyte count
- D. Increased neutrophil count
Correct Answer: A
Rationale: An increased basophil count may indicate a severe allergic reaction.
The nurse clarifies that ferrous replaces iron stores to treat iron deficiency anemia.
Correct Answer: sulfate
Rationale: Ferrous sulfate replaces iron stores needed to treat iron deficiency anemia.
The nurse explains that the treatment of hemophilia has been revolutionized with the advent of the use of which medical intervention?
- A. corticosteroids.
- B. large doses of testosterone.
- C. Prophylactic use of factors VIII and IX.
- D. transfusion with packed red cells.
Correct Answer: C
Rationale: Recombinant factor VIII and recombinant factor IX have been major forward steps in the treatment of hemophilia.
Which would the nurse explain as a type of leukemia that affects noticeably more children and teens than adults?
- A. Chronic lymphocytic leukemia (CLL)
- B. Acute myeloid leukemia (AML)
- C. Acute lymphocytic leukemia (ALL)
- D. Chronic myeloid leukemia (CML)
Correct Answer: C
Rationale: The majority of cases of ALL are children under the age of 5 years.
Which does the elevation in the eosinophil count to 10% indicate?
- A. Anemia
- B. Allergy
- C. Infection
- D. Hypoxia
Correct Answer: B
Rationale: Normal values of eosinophils are 1% to 4%. An elevation to 10% would indicate the presence of an allergic reaction.