MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A young client is diagnosed with a mild form of hemophilia and is experiencing bleeding in the joints with pain. In preparing the client for discharge, what instructions should the nurse provide?
A
Undergo genetic testing and counseling if the client is male.
B
Wear a medical identification bracelet.
C
Take ibuprofen for joint pain.
D
Take warm baths to lessen pain.
Explanation: 

Detailed explanation-1: -Be sure to tell the doctor, dentist or nurse your child has hemophilia. Be sure immunizations are given under the skin (subcutaneous) instead of into a muscle (intramuscular) and are given with a smaller needle. The staff should apply pressure and ice to the injection site for 5 to 10 minutes after the shot is given.

Detailed explanation-2: -Pneumococcal, meningococcal, and Haemophilus influenzae (Hib) vaccinations are indicated for patients after splenectomy.

Detailed explanation-3: -If dietary history suggests a deficiency, patients should be encouraged to augment their diet with foods rich in heme iron such as red meat (full of hemoglobin and myoglobin) or liver. Non-heme iron, which is prevalent in cereals, egg yolk and green leafy vegetables, is not efficiently absorbed.

Detailed explanation-4: -Both disorders result in low levels of functioning red blood cells and often high levels of iron in the body. People with these hemoglobinopathies may experience fatigue, weakness, pale skin, and other complications.

There is 1 question to complete.