During health history assessment, an adult client says, "I've been told I have some sort of bleeding disorder, but I'm not certain." Which responses by the nurse are the most appropriate?
Standard Text: Select all that apply.
1. "Did the health care provider mention von Willebrand disease?"
2. "None of the inherited bleeding disorders affect women."
3. "Is there a history of bleeding disorders in your family?"
4. "Have you ever experienced excessive bleeding or easy bruising?"
5. "If you had a true bleeding disorder you would have had symptoms earlier in your life."
Correct Answer: 1,3,4
Rationale 1: Von Willebrand disease is the most common inherited coagulation disorder.
Rationale 2: Von Willebrand disease affects males and females equally.
Rationale 3: Many bleeding disorders are inherited.
Rationale 4: Excessive bleeding and easy bruising are signs of bleeding disorders.
Rationale 5: Von Willebrand disease has both mild and severe forms. Symptoms may have been so mild as to be unnoticed by the client.
Global Rationale: Von Willebrand disease is the most common inherited coagulation disorder. Many bleeding disorders are inherited. Excessive bleeding and easy bruising are signs of bleeding disorders. Von Willebrand disease affects males and females equally. Von Willebrand disease has both mild and severe forms. Symptoms may have been so mild as to be unnoticed by the client.
You might also like to view...
A patient explains how a former job has been outsourced to another country. What impact has globalization had on the economy?
A. Increased income inequality for some groups in the United States B. Improved income for all minority groups in the United States C. Increased membership in labor unions D. Decreased immigration
A client is experiencing a condition involving an increase in the porosity of bone. It is often called the "silent disease" and goes untreated. This condition is:
a. Lyme disease c. osteoporosis b. osteoarthritis d. rheumatoid arthritis
A child's parents have requested that their child be exempt from obtaining the required immun-izations for a religious reason. What action should a school nurse take related to this request in order to be compliant with the law?
a. Deny entry into school for children with-out the required immunizations b. Educate the parents about the need for immunizations c. Be aware of the state laws regarding ac-ceptable reasons for exemption d. Allow the student to attend school with-out the immunizations
The nurse, in working with children of this age, plans to allow a 5-year-old boy who was admit-ted to the surgical center to have his tonsils removed to:
1. Perform his own preoperative hygienic care 2. Have alone time to relax before the procedure 3. Handle the equipment when taking his blood pressure 4. Have access to age-appropriate magazines and puzzles for diversion