A client with hemophilia has prolonged partial thromboplastin time (PTT) and normal prothrombin time (PT)
What does this laboratory result indicate about the client's condition?

The client has a normal coagulation profile.

The client may have a vitamin K deficiency.

The client likely has hemophilia.

The client is at risk for thrombosis.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The client has a normal coagulation profile.

This choice is incorrect because the client's prolonged PTT suggests a problem with the intrinsic pathway of coagulation, which is typical in hemophilia.

A normal coagulation profile would show normal values for both PTT and PT.

Choice B rationale:

The client may have a vitamin K deficiency.

This choice is not applicable in this context.

A vitamin K deficiency primarily affects the extrinsic pathway of coagulation, leading to an elevated PT, but it does not typically affect the PTT, which is prolonged in hemophilia.

Choice C rationale:

The client likely has hemophilia.

This is the correct choice.

Hemophilia is characterized by a deficiency or dysfunction of clotting factors, most commonly factor VIII (hemophilia A) or factor IX (hemophilia B)

Prolonged PTT with normal PT is a classic laboratory finding in hemophilia.

Choice D rationale:

The client is at risk for thrombosis.

This choice is incorrect.

Hemophilia is associated with bleeding tendencies, not an increased risk of thrombosis.

Prolonged PTT indicates a reduced ability to form clots, making thrombosis less likely.

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Correct Answer is A

Explanation

Choice A rationale:

Desmopressin acetate (DDAVP) is a medication used to stimulate the release of factor VIII and von Willebrand factor from endothelial cells.

It is particularly effective in patients with mild to moderate hemophilia A who have a functional von Willebrand factor.

DDAVP works by promoting the release of stored clotting factors from the endothelium, temporarily increasing their levels in the bloodstream.

This medication is administered intranasally, subcutaneously, intravenously, or orally, making it a versatile option for treatment in different clinical settings.

Choice B rationale:

Factor VIII concentrates are used for the replacement of factor VIII in patients with hemophilia A but do not stimulate the release of factor VIII and von Willebrand factor from endothelial cells.

Factor VIII concentrates are typically administered intravenously to replace the deficient clotting factor.

Choice C rationale:

Tranexamic acid is an antifibrinolytic agent used to prevent the breakdown of fibrin clots.

While it can help in managing bleeding episodes in patients with hemophilia, it does not stimulate the release of factor VIII or von Willebrand factor from endothelial cells.

Choice D rationale:

Gene therapy is an emerging treatment approach for hemophilia, but it does not stimulate the release of factor VIII and von Willebrand factor from endothelial cells.

Gene therapy aims to provide a long-term solution by introducing functional clotting factor genes into the patient's body.

A. "Can you describe the triggers for your bleeding episodes?” B. "What is the frequency of your joint pain?” C. "Do you have a family history of hemophilia?” D. "Have you been prescribed antifibrinolytic agents?”

Correct Answer is A

Explanation

Choice A rationale:

"Can you describe the triggers for your bleeding episodes?”

This is the correct choice.

Understanding the triggers for bleeding episodes can help determine the type and severity of hemophilia.

For example, frequent spontaneous bleeding without apparent triggers may suggest severe hemophilia, while bleeding triggered by trauma or surgery may indicate a milder form.

Choice B rationale:

"What is the frequency of your joint pain?”

This choice is relevant to assessing the impact of hemophilia on the patient's quality of life but does not directly help determine the type and severity of hemophilia.

Choice C rationale:

"Do you have a family history of hemophilia?”

While family history is important in assessing the risk of hemophilia, it alone does not provide information about the type and severity of the patient's condition.

Choice D rationale:

"Have you been prescribed antifibrinolytic agents?”

This question pertains to treatment rather than the assessment of the type and severity of hemophilia.

It is important to know the treatment history but does not provide direct insight into the condition's severity.

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A client with hemophilia has prolonged partial thromboplastin time (PTT) and normal prothrombin time (PT) What does this laboratory result indicate about the client's condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with mild to moderate hemophilia

Correct Answer is A

Explanation

A nurse is assessing a patient with hemophilia.Which aspect of the assessment should the nurse prioritize to determine the type and severity of hemophilia?

Correct Answer is A

Explanation

A nurse is obtaining a history from a client suspected of having hemophilia.What information should the nurse include in the history assessment?

(Select all that apply):A nurse is educating a group of clients with hemophilia about diagnostic evaluation.Which tests are typically used to diagnose hemophilia?

A client with hemophilia A asks the nurse about the cause of the condition.Which response by the nurse is accurate?

A client with hemophilia presents with symptoms of bleeding into muscles, soft tissues, and gastrointestinal tract.Which statement by the nurse is correct?

A client with hemophilia experiences mucosal bleeding episodes such as epistaxis and oral bleeding.Which drug, used as adjunctive therapy to inhibit the breakdown of fibrin clots, should the nurse consider?

A nurse is educating a group of nursing students about the treatment options for hemophilia.What intervention should the nurse include in the teaching?

A client with hemophilia has prolonged partial thromboplastin time (PTT) and normal prothrombin time (PT) What does this laboratory result indicate about the client's condition?

A nurse is assessing a client with hemophilia.Which clinical manifestations should the nurse expect to find? (Select all that apply.)

A client with hemophilia has prolonged partial thromboplastin time (PTT) and normal prothrombin time (PT)
What does this laboratory result indicate about the client's condition?