CGF Unit 7 Practice Questions- Hematological Disorders

A nurse is caring for a child with von Willebrand disease. The nurse is aware that which of the following is a (are) clinical manifestation(s) of von Willebrand disease?Select all that apply. A. Bleeding of the mucous membranes. B. The child bruises easily. C. Excessive menstruation. D. The child has frequent nosebleeds. E. Elevated creatinine levels. F. The child has a factor IX deficiency

A, B, C, D

Which of the following activities should a nurse suggest for a client diagnosed with hemophilia? Select all that apply. A. Swimming. B. Golf. C. Hiking. D. Fishing. E. Soccer.

A, B, C, D

A child with hemophilia A fell and injured a knee while playing outside. The knee is swollen and painful. Which of the following measures should be taken to stop the bleeding? Select all that apply. A. The extremity should be immobilized. B. The extremity should be elevated. C. Warm moist compresses should be applied to decrease pain. D. Passive range-of-motion exercises should be administered to the extremity. E. Factor VIII should be administered.

A, B, E

The nurse is caring for a child who is receiving a transfusion of packed red blood cells. The nurse is aware that if the child had a hemolytic reaction to the blood, the signs and symptoms would include which of the following? Select all that apply. A. Fever. B. Rash. C. Oliguria. D. Hypotension. E. Chills.

A, C, D

Which of the following measures should the nurse teach the parent of a child with hemophilia to do first if the child sustains an injury to a joint causing bleeding? A. Give the child a dose of Tylenol. B. Immobilize the joint, and elevate the extremity. C. Apply heat to the area. D. Administer factor per the home-care protocol

D

Which of the following will be abnormal in a child with the diagnosis of hemophilia? A. Platelet count. B. Hemoglobin level. C. White blood cell count. D. Partial thromboplastin time

D

Which of the following measures should be implemented for a child with von Willebrand disease who has a nosebleed? A. Apply pressure to the nose for at least 10 minutes. B. Have the child lie supine and quiet. C. Avoid packing of the nostrils. D. Encourage the child to swallow frequently.

A

A 10-year-old with severe factor VIII deficiency falls, injures an elbow, and is brought to the ER. The nurse should prepare which of the following? A. An IM injection of factor VIII. B. An IV infusion of factor VIII. C. An injection of desmopressin. D. An IV infusion of platelets

B

The parent of a child with hemophilia is asking the nurse what caused the hemophilia. Which is the nurse's best response? A. It is an X-linked dominant disorder. B. It is an X-linked recessive disorder. C. It is an autosomal dominant disorder. D. It is an autosomal recessive disorder

B