The parents of a boy with hemophilia A want to know why their son will receive factor replacement on an ongoing basis rather than when needed for bleeding episodes
They tell the nurse that the boy's grandfather, who had the same disease, received the drug only when he had bleeding. The nurse will give the parents which information about ongoing therapy?
a. It can reverse progression of the disease.
b. It is cheaper, because the amounts of the drug used are less.
c. It is used to minimize pathologic developments in the joints.
d. It prevents the development of inhibitors.
ANS: C
Primary prophylaxis, especially in young children, minimizes bleeding episodes and long-term damage to joints. Ongoing treatment does not reverse the progression of the disease. Ongoing therapy is not less expensive, nor does it prevent the development of inhibitors.
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A client with a normal prepregnancy weight asks why she has been told to gain 25–35 pounds during her pregnancy but her underweight friend was told to gain more weight
The nurse should tell the client that recommended weight gain during pregnancy should be: 1. 25–35 pounds, regardless of a client's prepregnant weight. 2. More than 25–35 pounds for an overweight woman. 3. Up to 40 pounds for an underweight woman. 4. The same for a normal weight woman as for an overweight woman.
A client who follows a vegan diet has been diagnosed with megaloblastic anemia. What additions to the diet does the client need?
A. A breakfast cereal fortified with vitamin B12 B. Additional iron-rich foods, such as spinach C. Additional serving of legumes for calcium D. A vitamin C–rich citrus fruit
The clinic nurse includes screening for domestic violence in the first prenatal visit for all patients. An appropriate question would be:
A) This is something that we ask everyone. Do you feel safe in your current living environment and relationships? B) This is something we ask everyone. Do you have any abuse in your life right now? C) Is your partner threatening or harming you in any way right now? D) I need to ask you, do you feel safe from abuse right now?
The nurse knows which of the following facts to be true of human lice?
a. They require human blood to survive. b. They can exist away from their host for no more than 48 hours. c. New eggs hatch within days to yield another generation. d. They are highly contagious airborne vectors.