The nurse reviews for a family how the development of synthetic recombinant antihemophilic factor has improved the management of hemophilia A because this drug: (Select all that apply.)
a. Eliminates the need for frequent transfusions
b. Can be administered by the family at home
c. Prevents hemorrhage
d. Reduces the cost of care of the hemophiliac
e. Reduces the risk of HIV and hepatitis A and B transmission
A, B, D, E
The drug can be given at home by the family. Because it supplies the missing factor, transfusions are not necessary and consequently the exposure to HIV and hepatitis A and B is reduced. Cost of care is greatly reduced because hospitalizations and transfusions are not as frequently required. The drug does not prevent hemorrhage; it makes hemorrhage manageable.
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Intravenous vasopressin (Pitressin) has been ordered for a patient with recurrent esophageal varices causing upper gastrointestinal hemorrhage. What is the purpose of this therapy?
A) Increases systemic blood pressure in shock B) Increases myocardial oxygen use and demand C) Reduces blood flow to the mesenteric circulation D) Causes constriction of the splanchnic arteries
A patient is complaining of an inability to breathe nasally because of severe rhinitis. The nurse is aware that the nose plays what important role in breathing that is disrupted when the nasal passages are blocked?
A) It decreases the number of pathogens inhaled. B) Inspired air is warmed and humidified. C) Carbon dioxide will not be inhaled. D) It simulates surfactant release from the alveoli.
A client seen in the mental health clinic feels her depression is the result of being "punished" due to becoming pregnant as an adolescent and giving the infant up for adoption against her family's wishes
This view of her depression is considered: a. Exaggerated b. Naturalistic c. Personalistic d. Stress
When a client's husband questions how a patient-controlled analgesia (PCA) pump works, the nurse explains that the client:
1. Has control over the frequency of the intravenous (IV) analgesia 2. Can choose the dosage of the drug received 3. May request the type of medication received 4. Controls the route for administering the medication