A ten-year-old boy with classic hemophilia is admitted to the ...

[Arii_bell]

A ten-year-old boy with classic hemophilia is admitted to the hospital for hemorrhage into the knee joint. Treatment is instituted on admission. What would be an appropriate nursing diagnosis for this child?
 
  1. Risk for impaired physical mobility related to joint stiffness and contractures
  2. Risk for impaired tissue perfusion (cerebral) related to blood loss.
  3. Activity intolerance related to bleeding
  4. Disturbed body image related to swollen knee

Question 2

An adolescent with a gunshot wound presents to the emergency department with his distraught parents. He states that he saw a classmate shoot his teacher and several other students.
 
  As a result of the shooting incident, the nurse expects this adolescent to be at risk for which disorder? 1. Conduct disorder
  2. Depression
  3. Post-traumatic stress disorder
  4. School phobia

[jessofishing]

Answer to Question 1

1
Rationale 1: A bleed into the joint can lead to permanent contracture of the joint. Bone changes can result from the immobility associated with the bleed.
Rationale 2: Bleeding into the knee joint tends to be limited and decreased blood flow to the brain is unlikely.
Rationale 3: Activity intolerance is not the best diagnosis for this child.
Rationale 4: Although the knee will be swollen, body image is not the priority diagnosis at this time.
Global

Answer to Question 2

3
Rationale 1: Conduct disorder could possibly occur later.
Rationale 2: Depression could possibly occur later.
Rationale 3: Acute stress, parental stress, and the degree of the psychological trauma exposure are variables predictive of post-traumatic stress disorder (PTSD).
Rationale 4: School phobia could possibly occur later.
Global Rationale:

[Arii_bell]

TYSM

[alvinum]

Gracias!