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","B","C"]
Explanation
Choice A rationale:
Family history of bleeding disorders.
Rationale: In the assessment of a client suspected of having hemophilia, it is essential to inquire about a family history of bleeding disorders because hemophilia is a genetic disorder, and a positive family history can be a strong indicator.
Choice B rationale:
Recent traumatic injuries.
Rationale: Inquiring about recent traumatic injuries is important because individuals with hemophilia are at increased risk of bleeding following injuries.
Knowing about recent trauma helps assess the risk of bleeding episodes.
Choice C rationale:
Medications affecting coagulation.
Rationale: It is crucial to inquire about medications that can affect coagulation, such as anticoagulants or antiplatelet agents, as these medications can increase the risk of bleeding in individuals with hemophilia.
Choice D rationale:
Allergies to latex products.
Rationale: While allergies to latex products should be assessed for safety reasons, it is not directly related to the diagnosis of hemophilia.
This information is important for overall patient safety but is not a specific factor in diagnosing hemophilia.
Correct Answer is C
Explanation
Choice A rationale:
Administering anticoagulants to promote clot formation is not appropriate for the treatment of hemophilia.
Anticoagulants are medications that thin the blood and prevent the formation of blood clots.
However, in individuals with hemophilia, the issue is not the formation of excessive clots but rather the inability to form effective clots due to a deficiency in clotting factors.
Therefore, anticoagulants would worsen the bleeding disorder and are not a suitable intervention.
Choice B rationale:
Encouraging regular physical activity to prevent bleeding episodes is a reasonable recommendation for individuals with hemophilia.
Regular, low-impact physical activity can help strengthen muscles and joints, which may reduce the risk of bleeding episodes and joint damage.
However, this alone is not a treatment for hemophilia but rather a preventive measure.
Choice C rationale:
Administering factor replacement therapy is the primary treatment for hemophilia.
Hemophilia is characterized by a deficiency in specific clotting factors (Factor VIII for Hemophilia A and Factor IX for Hemophilia B)
Replacement therapy involves infusing the missing clotting factor to achieve normal or near-normal levels, allowing the blood to clot properly.
This intervention is crucial in managing and preventing bleeding episodes in individuals with hemophilia.
Choice D rationale:
Administering iron supplements to improve hemoglobin levels is not a direct treatment for hemophilia.
Hemophilia is a clotting disorder, and iron supplements are typically used to treat conditions related to iron deficiency anemia.
While individuals with hemophilia may experience anemia as a result of chronic bleeding, the primary treatment for hemophilia involves addressing the clotting factor deficiency through factor replacement therapy.
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