Parents of a child with hemophilia A ask the nurse, "What is the deficiency with this disorder?" Which correct response should the nurse make?
a. "Hemophilia A has a deficiency in red blood cells."
b. "Hemophilia A has a deficiency in platelets."
c. "Hemophilia A has a deficiency in factor IX."
d. "Hemophilia A has a deficiency in factor VIII."
ANS: D
Hemophilia A is deficient in factor VIII. Glucose-6-phosphate dehydrogenase (G6PD) deficiency shows low red blood cells (hemolytic anemia). Immunosuppression may be the cause of a deficient number of platelets. Hemophilia B is deficient in factor IX.
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A nurse assesses a client's oral cavity and observes the condition depicted in the photo below:
What action by the nurse is best? a. Ask about the client's human immunodeficiency virus (HIV) status. b. Assess the client for dysphagia. c. Listen to the client's lung sounds. d. Refer the client to an oncologist.
Which belief best fosters provision of culturally competent nursing care? (Select all that apply.)
a. Eye contact promotes nonverbal communication. b. Nurses should foster assimilation and conformity to the dominant culture. c. Reading about practices of various cultures will ensure cultural competence. d. The ability to work within a patient's cultural context requires ongoing effort. e. Self-examination of attitudes toward various cultures promotes competent care.
A 30-year-old female client reporting to the clinic for a sports physical is told by the physician she is demonstrating signs consistent with the early onset of osteoporosis
The client asks how she could be at risk for this disease, since she is so active. Which of the following responses by the nurse is most correct? 1. "You might have placed underlying stress on your skeleton from your frequent exercise.". 2. "You are at an age when your estrogen levels have begun to decline drastically, thus increasing your risk for the development of osteoporosis.". 3. "Do your bones feel weak?" 4. "Your dietary practices might be partially responsible.".