Author Question: A toddler weighing 22 lb with hemophilia A fell down several steps and sustained a knee injury. The ... (Read 109 times)

clmills979

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A toddler weighing 22 lb with hemophilia A fell down several steps and sustained a knee injury. The parents have been instructed to provide the child with an infusion of factor VIII concentrate, one bag per 5 kg of body weight.
 
  How many bags of the concentrate will the parents infuse into the child? (Calculate to the nearest tenth decimal point.)

Question 2

It is determined that a preschool-age child developed anemia after exposure to an insecticide. What should the nurse teach the parents before the child is discharged from the hospital?
 
  A) Schedule weekly chelating treatments.
  B) Provide the child with a high-protein diet.
  C) Schedule hospital visits to desensitize the child to the insecticide.
  D) Ensure that the child has no further exposure exposed to the insecticide.



leahm14

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Answer to Question 1

2 bags
Feedback:
First, determine the child's weight in kilogram by dividing 22 lb by 2.2 = 10 kg. If the parents are to infuse one bag of concentrate for every 5 kg of body weight then divide the total body weight by 5 or 10 kg/5 = 2 . The child is to receive 2 bags of factor VIII to treat this injury.

Answer to Question 2

D
Feedback:
The first step in therapy is to immediately ensure that the child is never exposed to the substance again. Chelation therapy is to remove excess iron from the blood and body. A high-protein diet is not indicated for this health problem. The child does not need weekly hospital visits for desensitization.



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