A nurse is educating a group of nursing students about the treatment options for hemophilia.
What intervention should the nurse include in the teaching?
Administering anticoagulants to promote clot formation.
Encouraging regular physical activity to prevent bleeding episodes.
Administering factor replacement therapy to replace deficient clotting factors.
Administering iron supplements to improve hemoglobin levels.
The Correct Answer is C
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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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale:
The nurse should recommend avoiding invasive procedures and injections for a patient with hemophilia.
Hemophilia is a bleeding disorder characterized by a deficiency in clotting factors, and any invasive procedures or injections can lead to bleeding episodes.
This recommendation is essential to prevent unnecessary bleeding and complications.
Choice B rationale:
The use of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief is not a suitable recommendation for a patient with hemophilia.
NSAIDs can increase the risk of bleeding due to their antiplatelet effects.
It is crucial to avoid medications that can worsen bleeding in individuals with hemophilia.
Choice C rationale:
Engaging in gentle exercise to maintain joint function is a valuable recommendation for patients with hemophilia.
Hemophilia often leads to joint problems due to repeated bleeding episodes, and gentle exercise can help maintain joint mobility and prevent contractures.
It is essential to recommend exercise within the patient's tolerance to promote joint health.
Choice D rationale:
Monitoring for signs of anemia and thrombosis is important for patients with hemophilia.
Anemia can occur if there is excessive bleeding, leading to a decrease in red blood cell count.
Additionally, patients with hemophilia are at risk of developing thrombosis due to treatment with clotting factor concentrates.
Therefore, regular monitoring for these complications is necessary to ensure timely intervention if needed.
Choice E rationale:
Applying heat to bleeding joints to alleviate pain is not a recommended practice for patients with hemophilia.
Heat can increase blood flow to the affected area, potentially exacerbating bleeding.
Cold therapy, such as ice packs, is often recommended to reduce inflammation and pain while minimizing the risk of bleeding.
Correct Answer is B
Explanation
"Apply pressure, ice, and compression to the affected joint."
Choice A rationale:
"Administer acetaminophen as prescribed." While pain management is essential for clients with hemophilia, acetaminophen is not the first-line choice because it does not have anti-inflammatory properties.
Additionally, in hemophilia, there is a risk of liver damage from excessive acetaminophen use.
Choice B rationale:
"Apply pressure, ice, and compression to the affected joint." This is the correct choice.
Applying ice and compression to the affected joint can help reduce pain and inflammation in clients with hemophilia.
It is a safe and effective nursing intervention.
Choice C rationale:
"Refer the client to genetic counseling services." Genetic counseling is important in hemophilia for family planning and risk assessment.
However, it is not the priority nursing intervention for managing acute joint pain.
Choice D rationale:
"Encourage the client to perform vigorous physical exercises." Encouraging vigorous physical exercises is not advisable for clients with hemophilia, especially when they are experiencing joint pain.
It can increase the risk of bleeding and further joint damage.
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