Which medication will the nurse anticipate to administer to the client with Hemophilia A?

Rationale:

A. Vitamin C with iron tablet: While iron supplements may be useful for treating anemia if blood loss has been significant, they do not address the underlying clotting factor deficiency in Hemophilia A. Vitamin C supports tissue healing, but it is not a treatment for this disorder.

B. Factor VIII: Hemophilia A is caused by a deficiency or dysfunction of clotting factor VIII, leading to impaired blood coagulation. The primary treatment is replacing factor VIII through IV infusion to restore normal clotting ability and prevent or control bleeding episodes.

C. Factor IX: Factor IX is used to treat Hemophilia B, also known as Christmas disease, which involves a deficiency in factor IX. It is not appropriate for Hemophilia A since it does not correct the missing clotting factor.

D. Aspirin: Aspirin impairs platelet function and increases bleeding risk. In clients with bleeding disorders such as Hemophilia A, it is contraindicated because it can worsen bleeding tendencies and complicate management.

Rationale:

A. "It is so scary to think that our child will likely develop epilepsy now.": While febrile seizures can be frightening, most children who experience them do not go on to develop epilepsy. This misconception needs to be addressed to reduce parental anxiety.

B. "We have never had anyone in our family have a febrile seizure so I was so surprised when this happened.": Although family history can increase risk, febrile seizures can occur in children without a family history. Parents may benefit from education about the unpredictability and prevalence of febrile seizures.

C. "I am thankful that our child won't have to be on anti-seizure medication.": This reflects an accurate understanding, as most febrile seizures do not require ongoing anti-seizure medication, so no further teaching is necessary.

D. “I am afraid that our 10-year-old will start having febrile seizures.": Febrile seizures typically occur between 6 months and 5 years of age, so it is unlikely that a 10-year-old would develop them.

E. "It's important to manage fevers in the future in order to decrease the risk of febrile seizures.": While it is true that managing a fever does not always prevent a febrile seizure, it is a crucial and appropriate part of the management plan.