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

Easy bruising.

Hematuria.

Joint pain and swelling.

Elevated factor VIII levels.

Spontaneous nosebleeds.

Answer and Explanation

Correct Answer : A,C,E

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.

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Correct Answer is C

Explanation

Choice A rationale:

Factor replacement therapy, such as the administration of factor VIII concentrates, is the primary treatment for managing bleeding episodes in patients with hemophilia.

However, it does not specifically inhibit the breakdown of fibrin clots, which is the primary role of aminocaproic acid.

Choice B rationale:

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

While it can help in some cases, it may not be the most effective choice for mucosal bleeding episodes like epistaxis and oral bleeding, where aminocaproic acid is more commonly used.

Choice C rationale:

Aminocaproic acid is an antifibrinolytic medication that inhibits the breakdown of fibrin clots.

It is particularly useful in managing mucosal bleeding episodes in patients with hemophilia, such as epistaxis and oral bleeding, by preventing the premature dissolution of clots and promoting hemostasis.

Choice D rationale:

Gene therapy is an emerging treatment for hemophilia, but it does not directly address the breakdown of fibrin clots.

It aims to provide a long-term solution by introducing functional clotting factor genes into the patient's body, but it may not be the immediate choice for managing acute bleeding episodes.

A. "It's essential to limit your fluid intake to prevent further bleeding.” B. "Let's administer aspirin to help with the pain and swelling.” C. "I'll monitor your condition closely and provide appropriate treatments.” D. "This bleeding is normal and should resolve on its own.”

Correct Answer is C

Explanation

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.

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

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

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