Which of the following is a complication of hemophilia?
Hematuria
Hemarthrosis
Hemoptysis
Hematemesis
The Correct Answer is B
A. Hematuria (blood in the urine) can occur in some conditions, but it is not a primary complication of hemophilia. Hemophilia more commonly leads to bleeding into joints and muscles rather than the urinary tract.
B. Hemarthrosis (bleeding into the joints) is a common complication of hemophilia. It occurs due to the lack of clotting factors, which prevents normal blood clotting and allows bleeding into joints, causing pain, swelling, and long-term joint damage.
C. Hemoptysis (coughing up blood) is not a typical complication of hemophilia, though it can occur in various respiratory conditions, such as infections or lung issues.
D. Hematemesis (vomiting blood) is a serious condition but is not commonly associated with hemophilia. Hemophilia's major complications are related to joint and muscle bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Hemophilia A is a result of insufficient or absent factor VIII is correct. Hemophilia A is caused by a deficiency or absence of clotting factor VIII, which impairs the ability of blood to clot properly.
B. Von Willebrand disease is a disorder that occurs because of excess production of von Willebrand Factor is incorrect. Von Willebrand disease is actually caused by a deficiency or dysfunction of von Willebrand Factor, which is necessary for platelet adhesion and clotting.
C. Hemophilia B results from insufficient or absent factor IX is correct. Hemophilia B is caused by a deficiency of clotting factor IX, similar to hemophilia A, but involves a different clotting factor.
D. Von Willebrand disease is a disorder that occurs because of absent or insufficient von Willebrand Factor is correct. This disorder involves a deficiency or dysfunction of von Willebrand Factor, which leads to impaired clotting and easy bleeding.
E. Hemophilia A is a result of insufficient or absent fibrinogen is incorrect. Hemophilia A is caused by a deficiency of factor VIII, not fibrinogen, which is involved in the final steps of the clotting cascade.
Correct Answer is A
Explanation
A. Obtain IV access. Obtaining IV access is a good precaution in case the client requires emergency medication (e.g., anticonvulsants) to control seizures. This is part of preparing for seizure management.
B. Keep a padded tongue blade available at the client's bedside. This is an outdated practice. The nurse should never insert a tongue blade into a patient's mouth during a seizure as it can cause injury.
C. Keep the lights on when the client is sleeping. There is no need to keep the lights on, as it may disturb the client’s rest. A calm, quiet environment is preferred, and seizure precautions are more related to safety and monitoring than lighting.
D. Place the client's bed in the high position. This increases the risk of injury in the event of a seizure. The bed should be in a low position with side rails up to prevent injury.
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