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Nursing Interventions for Hemophilia

- The nursing interventions for hemophilia should aim to prevent bleeding, control bleeding, promote joint health, manage pain, prevent complications, and provide education and support. Some examples are:

  • Administer factor VIII or factor IX concentrates as prescribed, either on demand or prophylactically
  • Monitor the response to factor replacement therapy by measuring factor levels and coagulation tests
  • Apply pressure, ice, elevation, and compression to stop bleeding
  • Avoid invasive procedures, injections, aspirin, and nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Encourage gentle exercise, physical therapy, and the use of assistive devices to maintain joint function
  • Administer analgesics as prescribed, preferably acetaminophen or opioids
  • Monitor for signs of infection, anemia, thrombosis, inhibitor formation, and allergic reactions
  • Educate the patient and family about hemophilia, its inheritance pattern, its treatment options, its complications, and its self-care measures
  • Refer the patient and family to hemophilia centers, support groups, and genetic counseling

Questions on Nursing Interventions for Hemophilia

Correct Answer is ["A","C","D"]

Explanation

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 D

Explanation

This statement is incorrect. While it is very rare for females to have hemophilia, it is not impossible. Females can inherit hemophilia if they have two affected X chromosomes or if they inherit one affected X chromosome and one affected Y chromosome. Therefore, this statement does not indicate a need for further teaching.

Correct Answer is C

Explanation

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. .

Correct Answer is B

Explanation

"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.

Correct Answer is C

Explanation

"This bleeding is normal and should resolve on its own." Rationale: This statement is incorrect and potentially dangerous. Bleeding in a client with hemophilia is not normal and should not be left untreated. Without intervention, it can lead to severe complications and even life-threatening situations.

Correct Answer is ["A","C","E"]

Explanation

Spontaneous nosebleeds are a common clinical manifestation of hemophilia. The fragile blood vessels in the nose can rupture easily, leading to spontaneous nosebleeds. This choice is correct.

Correct Answer is A

Explanation

Gene therapy is an emerging treatment approach for hemophilia, but it does not stimulate the release of factor VIII and von Willebrand factor from endothelial cells. Gene therapy aims to provide a long-term solution by introducing functional clotting factor genes into the patient's body.

Correct Answer is A

Explanation

Hemophilia A is not caused by a deficiency of vitamin K. Vitamin K deficiency can lead to bleeding disorders, but it is not the cause of hemophilia A. This statement is incorrect.

"You should perform strenuous exercises to improve joint mobility." Encouraging strenuous exercises in a client with hemophilia who is already experiencing joint pain and swelling is not advisable. Strenuous exercise can exacerbate bleeding and joint damage. Instead, the focus should be on gentle ra

Fibrinogen levels. Rationale: Fibrinogen levels are not typically used to diagnose hemophilia. Hemophilia is characterized by deficiencies in specific clotting factors (Factor VIII or Factor IX), and fibrinogen levels are not directly related to these factors.

Hyperlipidemia refers to high levels of lipids (fats) in the blood, such as cholesterol and triglycerides. It is not a common complication of hemophilia, and there is no direct link between hemophilia and hyperlipidemia. Therefore, it is not a priority in the care plan for a client with hemophilia.

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.

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 ep

"Have you been prescribed antifibrinolytic agents?” This question pertains to treatment rather than the assessment of the type and severity of hemophilia. It is important to know the treatment history but does not provide direct insight into the condition's severity.

<p>The client is at risk for thrombosis.<br /> This choice is incorrect.<br /> Hemophilia is associated with bleeding tendencies, not an increased risk of thrombosis.<br /> Prolonged PTT indicates a reduced ability to form clots, making thrombosis less likely.</p>
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