Author Question: The nursing student is assigned to care for a child with hemophilia. The nursing instructor reviews ... (Read 72 times)

kamilo84 · **on:** Jul 22, 2018

The nursing student is assigned to care for a child with hemophilia. The nursing instructor reviews the plan of care with the student and asks the student to describe the characteristics of this disorder.

Which of the following statements, if made by the student, indicates a need for further research? 1. Males inherit hemophilia from their fathers.
2. Hemophilia A results from deficiency of factor VIII.
3. Females inherit the carrier status from their fathers.
4. Hemophilia is inherited in a recessive manner via a genetic defect on the X chromosome.

Question 2

A client in preterm labor is being started on intravenous magnesium sulfate to stop the contractions. The nurse checks the medication to ensure that which medication is available as an antidote if needed?

1. Magnesium oxide
2. Vitamin K
3. Aluminum hydroxide
4. Calcium gluconate

AngeliqueG · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: Males inherit hemophilia from their mothers, and females inherit the carrier status from their fathers. Some females who are carriers have an increased tendency to bleed, and, alt-hough it is rare, females can have hemophilia if their fathers have the disorder and their mothers are carriers of the genetic disorder. Hemophilia is inherited in a recessive manner via a genetic defect on the X chromosome. Hemophilia A results from a deficiency of factor VIII. Hemophilia B (Christmas disease) is a deficiency of factor IX.

Answer to Question 2

4

Rationale: The antidote for magnesium sulfate is calcium gluconate. This medication should be available if the client experiences magnesium toxicity. The other options are incorrect. Magnesium oxide and aluminum hydroxide are antacids. Vitamin K is the antidote for warfarin (Coumadin).