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 B

Explanation

A) Incorrect. Topical antiseptics, such as hydrogen peroxide or alcohol, can help prevent infection but are safe to use on minor cuts when applied correctly.

B) Correct. Applying direct pressure to the bleeding site for at least 10 minutes helps control minor bleeding and allows the blood to clot, reducing the risk of excessive bleeding.

C) Incorrect. Aspirin is an antiplatelet medication and can increase the risk of bleeding. It should not be used to stop bleeding quickly without medical guidance.

D) Incorrect. Elevating the affected limb above the heart level is not typically necessary for minor bleeding episodes and may not be practical for all bleeding sites.

A. Increase consumption of vitamin C-rich foods. B. Avoid red meat and poultry products. C. Decrease intake of leafy green vegetables. D. Limit dairy products in the diet.

Correct Answer is A

Explanation

A) Correct. Increasing consumption of vitamin C-rich foods can enhance iron absorption, which is essential for replenishing iron stores in clients at risk of anemia due to hemorrhage.

B) Incorrect. Red meat and poultry products are good sources of heme iron, which is highly absorbable and beneficial for individuals at risk of anemia.

C) Incorrect. Leafy green vegetables are excellent sources of non-heme iron, which is also essential for iron intake in the diet.

D) Incorrect. Dairy products do not significantly impact iron intake and can be included in the diet unless the client has specific dietary restrictions.

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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 nurse is providing education to a client about self-management of minor bleeding episodes at home. Which instruction should the nurse include?

Correct Answer is B

Explanation

A client has experienced a significant hemorrhage and is at risk of developing anemia. Which dietary recommendation should the nurse provide to the client to support iron intake?

Correct Answer is A

Explanation

A nurse is educating a client about the risk factors for hemorrhage. Which statement made by the client requires further clarification?

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A nurse is caring for a client who is at risk of hemorrhage. What action should the nurse take to prevent bleeding episodes?

A nurse is caring for a client who experienced a hemorrhage and received a blood transfusion. Which clinical manifestation should the nurse monitor to determine the effectiveness of the transfusion?

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