This topic contains a solution. Click here to go to the answer

Author Question: A nurse is caring for a child with hemophilia. While reviewing this child's immunization records, ... (Read 80 times)

Zulu123

  • Hero Member
  • *****
  • Posts: 525
A nurse is caring for a child with hemophilia.
 
  While reviewing this child's immunization records, the nurse notes that the child needs the tetanus and reduced diphtheria toxoids and acellular pertussis (Tdap) vaccine and the hepatitis A vaccine. The nurse should notify the provider and obtain an order to give:
  a. both vaccines intramuscularly.
  b. both vaccines subcutaneously.
  c. the hepatitis A vaccine only subcutaneously.
  d. the Tdap vaccine only intramuscularly.

Question 2

A patient with hemophilia B is admitted to the hospital for surgery. The patient's history reveals long-term use of factor replacement as prophylaxis for bleeding episodes.
 
  The nurse anticipates that the provider will order which medication to prevent excessive perioperative bleeding?
  a. Desmopressin
  b. Factor VIII
  c. Ibuprofen
  d. Tranexamic acid



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

aloop

  • Sr. Member
  • ****
  • Posts: 315
Answer to Question 1

ANS: A
To minimize the risk of hepatitis, all patients with hemophilia should be fully vaccinated, and all newly diagnosed patients should receive both the hepatitis A and hepatitis B vaccines to minimize the risk of hepatitis from infusions. Clinicians should inject vaccines intramuscularly, taking precautions to prevent excessive bleeding, because subcutaneous administration does not guarantee efficacy. There is no reason to withhold any vaccine in children with hemophilia.

Answer to Question 2

ANS: D
Antifibrinolytic drugs, such as tranexamic acid, which prevent the breakdown of fibrin, are used as adjuncts to replacement factor in special cases in which bleeding is likely. Desmopressin is used in patients with mild hemophilia A to help control bleeding episodes. Hemophilia B is a deficiency of factor IX, so giving factor VIII would not be appropriate. Ibuprofen would only reduce clotting and should not be used.




Zulu123

  • Member
  • Posts: 525
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it


kalskdjl1212

  • Member
  • Posts: 353
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

The familiar sounds of your heart are made by the heart's valves as they open and close.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Urine turns bright yellow if larger than normal amounts of certain substances are consumed; one of these substances is asparagus.

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

For a complete list of videos, visit our video library