Nokea
Which information about hemophilia will the nurse include in the teaching plan for the parents of a child diagnosed with hemophilia?
- A. Autosomal dominant disorder in which the blood clotting factors are deficient.
- B. X-linked recessive inherited disorder in which blood clotting factors are deficient.
- C. X-linked recessive inherited disorder involving decreased platelets causing prolonged bleeding.
- D. Autosomal recessive disorder in which the blood clotting factors are deficient.
Correct Answer: B
Rationale: The correct answer is B: Hemophilia is an X-linked recessive disorder, primarily affecting males and passed from mothers to sons. It involves a deficiency in clotting factors, leading to prolonged bleeding. Choice A is incorrect as hemophilia is not autosomal dominant. Choice C is incorrect as hemophilia does not involve platelets. Choice D is incorrect as hemophilia is not autosomal recessive.
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Which clinical manifestations should the nurse expect in a child diagnosed with nephroblastoma?
- A. Atrial fibrillation
- B. Endocarditis
- C. Hyperlipidemia
- D. Hypertension
Correct Answer: D
Rationale: The correct answer is D: Hypertension. Nephroblastoma, also known as Wilms' tumor, often causes hypertension due to its impact on the kidney, which plays a role in regulating blood pressure. Atrial fibrillation (choice A) and endocarditis (choice B) are not typically associated with nephroblastoma. Hyperlipidemia (choice C) is also not a common clinical manifestation of nephroblastoma.
Frequent urine tests for specific gravity are required on a 6-month-old infant. What method is the most appropriate way to collect small amounts of urine for these tests?
- A. Apply a urine collection bag to the perineal area.
- B. Tape a small medicine cup inside of the diaper.
- C. Aspirate urine from cotton balls inside the diaper with a syringe without a needle.
- D. Use a syringe without a needle to aspirate urine from a superabsorbent disposable diaper.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When checking the intravenous (IV) site on a child, the nurse should take which action?
- A. Look at the site.
- B. Ask the child if the site hurts.
- C. Look at the site while palpating the area.
- D. Take all the tape off, assess the site, and redress.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The school nurse suspects a testicular torsion in a young adolescent student. What action should the nurse take?
- A. Place a warm moist pack on the scrotal area.
- B. Instruct the adolescent to lie down and elevate the legs.
- C. Refer the adolescent for immediate medical evaluation.
- D. Suggest that the adolescent wear a scrotum-protecting guard.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Nurses should be alert for increased fluid requirements in which circumstance?
- A. Fever
- B. Mechanical ventilation
- C. Congestive heart failure
- D. Increased intracranial pressure
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.