Nokea
The nurse is reinforcing teaching for the parents of a child newly diagnosed with hemophilia. Which long-term complication is important for the nurse to discuss?
- A. Heart valve injury
- B. Intellectual disability
- C. Joint destruction
- D. Recurrent pneumonia
Correct Answer: C
Rationale: Hemophilia causes recurrent joint bleeds, leading to joint destruction (hemophilic arthropathy), a key long-term complication.
You may also like to solve these questions
The nurse is caring for an adult who is admitted with severe nausea, vomiting, and diarrhea. During the last eight hours, the client has had 1000 mL of IV fluids and 100 mL of fluid from ice chips. The client has vomited a total of 600 mL and had four large diarrheal stools. The urine output for the last eight hours is 350 mL. The best interpretation of these data is that the client:
- A. is maintaining an appropriate fluid balance.
- B. has a normal urine output.
- C. is at risk for dehydration.
- D. is at risk for fluid overload.
Correct Answer: C
Rationale: Significant fluid losses from vomiting and diarrhea exceed intake, and low urine output indicates dehydration risk.
The nurse is caring for a client who has a C6 spinal cord injury. He complains of blurred vision and a severe headache. His blood pressure is 210/140. What action should the nurse take initially?
- A. Check for bladder distention
- B. Place in Trendelenburg position
- C. Administer PRN pain medication
- D. Continue to monitor blood pressure
Correct Answer: A
Rationale: Symptoms and hypertension suggest autonomic dysreflexia, often triggered by bladder distention in spinal cord injury. Checking and relieving distention is the initial action.
A client has been tentatively diagnosed with Graves' disease (hyperthyroidism). Which of these findings noted on the initial nursing assessment requires quick intervention by the nurse?
- A. a report of 10 pounds weight loss in the last month
- B. a comment by the client 'I just can't sit still.'
- C. the appearance of eyeballs that appear to 'pop' out of the client's eye sockets
- D. a report of the sudden onset of irritability in the past 2 weeks
Correct Answer: C
Rationale: Exophthalmos or protruding eyeballs is a distinctive characteristic of Graves' Disease. It can result in corneal abrasions with severe eye pain or damage when the eyelid is unable to blink down over the protruding eyeball. Eye drops or ointment may be needed.
An adult is to have a cardiac catheterization performed tomorrow. When preparing the client for the cardiac catheterization, it is essential for the nurse to do which of the following?
- A. Administer an enema two hours before the procedure
- B. Limit caffeine the day before the procedure
- C. Ask the client about allergies to shellfish
- D. Restrict fat intake the day before the procedure
Correct Answer: C
Rationale: Shellfish allergies may indicate iodine sensitivity, critical for contrast dye used in cardiac catheterization.
A client with osteoporosis has been advised to increase the amount of calcium in her diet. Which food provides the most calcium?
- A. An 8-ounce glass of milk
- B. An ounce of cheddar cheese
- C. A half cup of raw broccoli
- D. A 4-ounce salmon croquet
Correct Answer: A
Rationale: An 8-ounce glass of milk provides ~300 mg of calcium, more than cheese (B, ~200 mg/oz), broccoli (C, ~20 mg/half cup), or salmon (D, ~180 mg/4 oz).