A child has been admitted with assessment findings suggestive of hemophilia. Which laboratory test would the nurse evaluate as supporting that diagnosis?
1. Decreased red blood cell count on CBC
2. Prolonged partial thromboplastin time (aPTT)
3. Decreased factor VI
4. A positive d-dimer
2
Rationale 1: Any person who is bleeding would have a decreased red blood cell count; this is not specific to hemophilia.
Rationale 2: Because hemophilia is a disorder of the intrinsic pathway, the patient typically will have a prolonged aPTT.
Rationale 3: The factors that are insufficient in hemophilia are factors VIII and IX.
Rationale 4: The d-dimer test indicates excessive fibrinolysis, the end point of excessive activation of the clotting pathways. This is not part of the pathophysiology of hemophilia.
You might also like to view...
A patient's injury has initiated an immune response that involves inflammation. What are the first cells to arrive at a site of inflammation?
A) Eosinophils B) Red blood cells C) Lymphocytes D) Neutrophils
Which action will the nurse include when performing a complete oral exam on an older adult client?
1. Teach the client about halitosis. 2. Remove any coating on the tongue. 3. Ask about swallowing and sense of taste. 4. Record the number of dental caries.
While talking with a patient who was just recently diagnosed with breast cancer, the nurse asks the patient how she is coping with her responsibilities of being a wife, a mother, and now a cancer patient
The nurse is attempting to determine the patient's pattern of response to the change trigger by assessing the patient's: A. Engagement. B. Level of confidence. C. Location. D. Mastery.
Lillian Wald's major contribution to public health nursing was:
a. Founding the American Nurses Association b. Developing the New York Training Hospital for Nurses c. Creating the Public Health Service d. Establishing the Henry Street Settlement