A client with hemophilia is admitted to the hospital with an acute joint bleed. What is the nurse's priority intervention for managing joint bleeding in this client?

Apply a warm compress to the affected joint.

Administer prescribed clotting factor replacement therapy.

Elevate the affected joint to reduce swelling.

Encourage active range of motion exercises.

Answer and Explanation

The Correct Answer is B

A) Incorrect. Applying a warm compress may promote vasodilation and increase bleeding in the joint. It is not recommended for managing joint bleeding in a client with hemophilia.

B) Correct. The priority intervention for managing joint bleeding in a client with hemophilia is to administer prescribed clotting factor replacement therapy to promote clot formation and stop the bleeding.

C) Incorrect. Elevating the affected joint can help reduce swelling, but it is not the priority intervention when the client is experiencing an acute joint bleed.

D) Incorrect. Encouraging active range of motion exercises can worsen joint bleeding and is contraindicated in a client with acute joint bleeding due to hemophilia.

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Correct Answer is C

Explanation

A) Incorrect. While monitoring the client's pain level is important, it is not the priority when managing postpartum hemorrhage.

B) Incorrect. While breastfeeding can help stimulate uterine contractions, it is not the priority when actively managing postpartum hemorrhage.

C) Correct. Assessing the client's uterine contractions is the priority when managing postpartum hemorrhage. Weak or ineffective contractions can contribute to excessive bleeding after childbirth.

D) Incorrect. While educating the client about contraceptive methods is essential for family planning, it is not the immediate priority when managing postpartum hemorrhage.

A. The client has a history of hypertension. B. The client has been taking anticoagulant medication. C. The client is a regular blood donor. D. The client has a balanced diet.

Correct Answer is B

Explanation

A) Incorrect. While hypertension can be a risk factor for cardiovascular issues, it is not directly associated with an increased risk of hemorrhage.

B) Correct. Anticoagulant medication can interfere with the body's clotting mechanisms, making the client more susceptible to bleeding and hemorrhage.

C) Incorrect. Being a regular blood donor does not inherently increase the risk of hemorrhage unless the client donates too frequently, leading to anemia.

D) Incorrect. Having a balanced diet is essential for overall health, but it is not a specific risk factor for hemorrhage.

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A client with hemophilia is admitted to the hospital with an acute joint bleed. What is the nurse's priority intervention for managing joint bleeding in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is experiencing postpartum hemorrhage. What should the nurse prioritize when providing care to this client?

Correct Answer is C

Explanation

A client is admitted to the emergency department following a motor vehicle accident. The nurse is aware that the client is at increased risk for hemorrhage due to which factor?

Correct Answer is B

Explanation

A client is brought to the emergency department with suspected internal bleeding. Which assessment finding would the nurse identify as an early sign of compensatory response to hypovolemia?

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A nurse is caring for a client who is experiencing active bleeding. What is the nurse's priority intervention?