Author Question: The nurse caring for a patient with type A hemophilia being admitted to the hospital with severe ... (Read 44 times)

moongchi · **on:** Jun 25, 2018

The nurse caring for a patient with type A hemophilia being admitted to the hospital with severe pain and swelling in the right knee will

a. immobilize the joint.
b. apply heat to the knee.
c. assist the patient with light weight bearing.
d. perform passive range of motion to the knee.

Question 2

Which laboratory result will the nurse expect to show a decreased value if a patient develops heparin-induced thrombocytopenia (HIT)?

a. Prothrombin time
b. Erythrocyte count
c. Fibrinogen degradation products
d. Activated partial thromboplastin time

ms_sulzle · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
The initial action should be total rest of the knee to minimize bleeding. Ice packs are used to decrease bleeding. Range of motion (ROM) and weight-bearing exercise are contraindicated initially, but after the bleeding stops, ROM and physical therapy are started.

Answer to Question 2

ANS: D
Platelet aggregation in HIT causes neutralization of heparin, so that the activated partial thromboplastin time will be shorter and more heparin will be needed to maintain therapeutic levels. The other data will not be affected by HIT.