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Which presents the greatest risk to the child with hemophilia?

A.

Intracranial bleeding

B.

Hematuria

C.

Hemarthrosis

D.

Iron deficiency anemia

Answer and Explanation

The Correct Answer is A

A. Intracranial bleeding:  This is the most life-threatening complication of hemophilia, often from trauma. It may occur even with minor head injuries and can be fatal if not treated rapidly.

B. Hematuria:  Though concerning, it is not as life-threatening as intracranial hemorrhage.

C. Hemarthrosis:  Common in hemophilia, but it’s manageable and less immediately dangerous.

D. Iron deficiency anemia:  Not a typical risk in hemophilia; the bleeding is due to clotting factor deficiency, not chronic blood loss.


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Related Questions

Correct Answer is D

Explanation

A. Blood is shunted past the pulmonary circulation, causing pulmonary hypoxia: In PDA, blood goes to the lungs excessively, not past it, so this is incorrect.

B. Blood is circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart: This is fetal circulation physiology; in PDA postnatally, the shunt is usually from the aorta to the pulmonary artery.

C. Blood is shunted past cardiac arteries, causing myocardial hypoxia: PDA doesn’t bypass the cardiac arteries, so this is incorrect.

D. Blood is circulated through the lungs again, causing pulmonary circulatory congestion: In PDA, oxygenated blood from the aorta is shunted to the pulmonary artery, increasing blood flow to the lungs, leading to pulmonary congestion and dyspnea.

Correct Answer is D

Explanation

A. Increase the dose of ibuprofen: Changing the dose without provider approval is unsafe and not within the nurse's scope.
B. Increase the frequency of ibuprofen: This may risk overdose and should not be done without a physician’s order.
C. Encourage the child to lie on the right side: Lying on the affected side (right) can increase discomfort.
D. Encourage the child to lie on the left side: Lying on the unaffected side may relieve pleuritic pain by reducing pressure on the inflamed lung.

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