The nurse is planning a teaching session for a client newly diagnosed with hemophilia A. Which information should be included?
1. An extra protein is present that breaks down clots too quickly.
2. A substance that is part of the clotting process is missing.
3. The blood is missing a substance that inhibits clotting.
4. There are not enough platelets present.
Correct Answer: 2
Rationale 1: Hemophilia is not characterized by an extra protein.
Rationale 2: Hemophilia is characterized by a missing clotting factor.
Rationale 3: The substance that is missing promotes clotting.
Rationale 4: Hemophilia does not affect platelets.
Global Rationale: Hemophilia is characterized by a missing clotting factor. The substance that is missing promotes clotting. Hemophilia is not characterized by an extra protein and does not affect platelets.
You might also like to view...
A newborn is determined to have physiological jaundice. The nurse explains the steps involved in conjugation and excretion of bilirubin to the parents
Which factors would the nurse include in the explanation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. At birth, the newborn's liver begins to conjugate bilirubin or convert it from a yellow lipid-soluble pigment to a water-soluble pigment. 2. Unconjugated bilirubin can leave the bloodstream and enter the tissues, causing a yellow hue to the skin and sclera. 3. Unconjugated bilirubin results from the destruction of white blood cells. 4. The infant is able to excrete conjugated bilirubin, but not unconjugated bilirubin. 5. The newborn's liver has greater metabolic and enzymatic activity at birth than does an adult liver, increasing the newborn's susceptibility to jaundice.
What type of research tradition seeks to understand the rules, mechanisms, and structure of conversations and tests?
A) Semiotic analysis B) Ethnoscientific analysis C) Hermeneutics analysis D) Discourse analysis
While assisting a pregnant Mexican-American woman to dress, the nurse asks about a brass key pinned to the patient's underwear. The patient says that wearing the brass key protects her un-born baby if a solar eclipse occurs
What is the nurse's best response? a. "An additional way to protect your baby is by taking your vitamins." b. "Does your religion require you to wear this brass key during pregnancy?" c. "Just how does wearing a brass key protect your baby during a solar eclipse?" d. "Your baby would be better protected by keeping all your prenatal appoint-ments."
A patient recovering from a biopsy of the right femur had pain medication 1 hour ago. Which symptom should the nurse report and closely monitor in this patient? (Select all that apply.)
a. Temperature 98.4°F b. Hematoma formation c. Capillary refill of 3 seconds d. Pain reported as 7 on a 0-to-10 scale e. Range of motion of the ankle and knee present