A nurse is assisting in the care of a 6-year-old child.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should identify that the child is at risk for

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due to

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A. Position the injured extremity below the level of the heart is incorrect. When managing bleeding in hemophilia, the injured area should be elevated to reduce blood flow to the site, which can help minimize bleeding.

B. Apply an ice pack to the injury is correct. Applying ice can help constrict blood vessels and reduce swelling, which is important in controlling bleeding. Cold therapy is commonly used for hemophilia-related injuries to limit blood loss and decrease inflammation.

C. Perform passive range of motion to the affected area is incorrect. Passive range of motion should be avoided in the acute phase of injury because it can increase the risk of further injury or bleeding. Resting the injured limb and preventing movement is typically recommended.

D. Administer ibuprofen is incorrect. Ibuprofen is an NSAID that can interfere with blood clotting and increase the risk of bleeding, which is contraindicated in children with hemophilia. Acetaminophen is typically recommended for pain management in these cases.

A. Administering a regular diet is incorrect. While reintroducing a normal diet is important in managing diarrhea, it is not the priority in the acute phase. The toddler must first receive adequate hydration before resuming a regular diet.

B. Initiating IV fluid therapy is correct. In cases of severe dehydration or when the child cannot tolerate oral fluids, IV fluid therapy is the priority to restore fluid and electrolyte balance. Acute diarrhea can quickly lead to dehydration, making fluid replacement the most critical intervention.

C. Administering IV antibiotics is incorrect. Most cases of acute diarrhea in children are viral and do not require antibiotics. Even in bacterial cases, antibiotics are not always indicated unless the child has a severe infection or complications.

D. Initiating oral rehydration therapy is incorrect as the priority action. Oral rehydration therapy (ORT) is preferred for mild to moderate dehydration, but if the toddler is unable to tolerate oral fluids or has severe dehydration, IV fluids are the first-line treatment.