« previous next »

Author Question: The nurse is monitoring a patient with hemophilia who is receiving a factor VIII concentrate. During ... (Read 32 times)

ss2343

  • Hero Member
  • *****
  • Posts: 548
on: Jul 23, 2018
The nurse is monitoring a patient with hemophilia who is receiving a factor VIII concentrate. During the assessment, the nurse notes that the patient has nasal congestion, and a red rash appears on the chest. The nurse should prepare to administer
 
  a. diphenhydramine (Benadryl).
  b. human albumin.
  c. epinephrine (Adrenaline).
  d. norepinephrine.

Question 2

A nurse provides patient education about immunizations to the parents of a child newly diagnosed with hemophilia. The nurse explains that the child should receive _________ to reduce the risk of _____________.
 
  a. polio vaccine; injury from falls related to polio
  b. hepatitis A and B immunization; hepatitis
  c. tetanus toxoid immunization; tetanus
  d. measles, mumps, and rubella (MMR) vaccine; pustules in the mucosal lining


amandalm

  • Sr. Member
  • ****
  • Posts: 306
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Factor VIII concentrates can cause allergic reactions, which can range from mild to severe. Symptoms of a mild reaction include hives, rash, urticaria, stuffy nose, and fever. These can be managed with an antihistamine (eg, Benadryl).
Human albumin and norepinephrine are not indicated for allergic reactions.
Epinephrine is indicated for an anaphylactic reaction.

Answer to Question 2

ANS: B
To minimize the risk of hepatitis, all patients newly diagnosed with hemophilia should be vaccinated with hepatitis A and B vaccines.
Polio vaccine, tetanus immunization, and MMR may be indicated for all children; however, a child with hemophilia especially should be protected against hepatitis because of the risk of acquiring blood-borne disease during blood transfusions.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

NUrse NUrse
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
The nurse is using Standard Precautions to draw blood. The nurse is using Standard Precautions to draw blood.
Sample new patient registration form. Sample new patient registration form.
Components of the vestibulocochlear (VIII) nerve Components of the vestibulocochlear (VIII) nerve
Video: Role of the respiratory system - effect of altered ventilation rates

For a complete list of videos, visit our video library