Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
65. When counseling the parents of a child with severe hemophilia, the nurse would correctly inform the parents that:
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
65. When counseling the parents of a child with severe hemophilia, the nurse would correctly inform the parents that:
. Primary prophylaxis should be given on a regular basis before the onset of joint damage.
. Primary prophylaxis should be given on a regular basis after joint damage.
. Primary prophylaxis should be given after surgical procedures.
. Primary prophylaxis is cost prohibitive.
Test-Taking Tip
Think of primary prophylaxis as being "before" the problem occurs, and secondary prophylaxis as being "after" the problem occurs. Note that two answers focus on "after" ( Answers 2 and 3 ) and one answer refers to "before" ( Answer 1 ).
Content Area: Child Health, Hematological; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Safety and Infection Control/Accident Prevention and Injury Prevention
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is correct because primary prophylaxis (the infusion of factor VIII concentrate on a regularly scheduled basis before the onset of joint damage) has been proven to be effective in preventing arthropathy. Answer 2 is incorrect because primary prophylaxis (the infusion of factor VIII concentrate on a regularly scheduled basis before the onset of joint damage) must be given prior to the development of arthropathy. Secondary, not primary, prophylaxis involves the infusion of factor VIII concentrate on a regular basis after the child experiences a first joint bleed. Answer 3 is incorrect because primary prophylaxis (the infusion of factor VIII concentrate on a regularly scheduled basis before the onset of joint damage) is not associated with special circumstances, such as surgical procedures, which demand additional factor VIII concentrate at unscheduled times. Answer 4 is incorrect because, while primary prophylaxis is very costly, organizations such as the National Hemophilia Foundation exist to assist in providing resources for this therapy.