(Select all that apply):
A nurse is providing education to a patient with hemophilia about self-care measures.
Which recommendations should the nurse include? (Select all that apply.)
"Avoid invasive procedures and injections.”
"Use nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief.”
"Engage in gentle exercise to maintain joint function.”
"Monitor for signs of anemia and thrombosis.”
"Apply heat to bleeding joints to alleviate pain.”
Correct Answer : A,C,D
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.
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:
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.
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