A client with hemophilia presents with symptoms of bleeding into muscles, soft tissues, and gastrointestinal tract.
Which statement by the nurse is correct?
"It's essential to limit your fluid intake to prevent further bleeding.”
"Let's administer aspirin to help with the pain and swelling.”
"I'll monitor your condition closely and provide appropriate treatments.”
"This bleeding is normal and should resolve on its own.”
The Correct Answer is C
Choice A rationale:
"It's essential to limit your fluid intake to prevent further bleeding." Rationale: This statement is incorrect.
Limiting fluid intake will not prevent bleeding in a client with hemophilia.
In fact, maintaining adequate hydration is important to prevent complications and maintain overall health.
Choice B rationale:
"Let's administer aspirin to help with the pain and swelling." Rationale: This statement is also incorrect.
Aspirin is not recommended for individuals with hemophilia as it can further increase the risk of bleeding due to its antiplatelet effects.
Administering aspirin would be contraindicated in this case.
Choice C rationale:
"I'll monitor your condition closely and provide appropriate treatments." Rationale: This is the correct statement.
For a client with hemophilia experiencing bleeding into muscles, soft tissues, and the gastrointestinal tract, close monitoring and appropriate treatments are essential.
This may include administering clotting factor concentrates, pain management, and supportive care.
Choice D rationale:
"This bleeding is normal and should resolve on its own." Rationale: This statement is incorrect and potentially dangerous.
Bleeding in a client with hemophilia is not normal and should not be left untreated.
Without intervention, it can lead to severe complications and even life-threatening situations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
Easy bruising is a common clinical manifestation of hemophilia.
Patients with hemophilia have difficulty forming blood clots, which makes them prone to bleeding into the soft tissues, leading to easy bruising.
This choice is correct.
Choice B rationale:
Hematuria (blood in the urine) is not a typical clinical manifestation of hemophilia.
Hemorrhaging in the urinary tract is uncommon in hemophilia, so this choice is incorrect.
Choice C rationale:
Joint pain and swelling are characteristic clinical manifestations of hemophilia.
Bleeding into the joints can cause pain, swelling, and limited range of motion.
This choice is correct.
Choice D rationale:
Elevated factor VIII levels are not an expected clinical manifestation of hemophilia.
In fact, individuals with hemophilia have reduced levels of factor VIII due to the genetic mutation that causes the condition.
This choice is incorrect.
Choice E rationale:
Spontaneous nosebleeds are a common clinical manifestation of hemophilia.
The fragile blood vessels in the nose can rupture easily, leading to spontaneous nosebleeds.
This choice is correct.
Correct Answer is C
Explanation
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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