Page 913 - Saunders Comprehensive Review For NCLEX-RN

2. Gum bleeding occurs.
3. It is a hereditary bleeding disorder.

4. Treatment and care are similar to that for hemophilia.

5. It is characterized by extremely high creatinine levels.

6. The disorder causes platelets to adhere to damaged

endothelium.

Answers

302. Answer: 4

Rationale: Hemophilia refers to a group of bleeding disorders resulting from a
deficiency of specific coagulation proteins. Results of tests that measure platelet
function are normal; results of tests that measure clotting factor function may be
abnormal. Abnormal laboratory results in hemophilia indicate a prolonged partial
thromboplastin time. The platelet count, hemoglobin level, and hematocrit level are
normal in hemophilia.
Test-Taking Strategy: Focus on the subject, laboratory tests used to monitor
hemophilia, and note the strategic words, most likely. Recalling the pathophysiology
associated with this disorder and recalling that it results from a deficiency of specific
coagulation proteins will direct you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pediatrics: Hematological
Health Problem: Pediatric-Specific: Bleeding Disorders
Priority Concepts: Clinical Judgment; Clotting
Reference: McKinney et al. (2018), p. 1130.

303. Answer: 3

Rationale: Hemophilia refers to a group of bleeding disorders resulting from a
deficiency of specific coagulation proteins. Children with hemophilia need to avoid
contact sports and to take precautions such as wearing elbow and knee pads and
helmets with other sports. The safe activity for them is swimming.
Test-Taking Strategy: Focus on the subject, a safe activity. Recalling that bleeding
is a major concern in this condition, eliminate options 1, 2, and 4, because these
activities are comparable or alike in that they present the potential for injury.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Pediatrics: Hematological
Health Problem: Pediatric-Specific: Bleeding Disorder

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