The nurse caring for a child with hemophilia who is hospitalized ...

[LCritchfi]

The nurse caring for a child with hemophilia who is hospitalized with hemarthrosis should include which of the following in the plan of care?
 
  a. Splint the affected leg to maintain anatomic alignment
  b. Apply warm compresses to reduce hemorrhage in the joint
  c. Use analgesia sparingly
  d. Encourage vigorous ROM exercises several times a day to keep knee flexible

Question 2

A 23-year-old male patient with hemophilia A says, How can I keep my children from having hemophilia A? Which of the following is the most informative response?
 
  a. You need to select a very dependable mode of birth control.
  b. You can only pass hemophilia B to your sons.
  c. Your daughter may be a carrier and her children may have hemophilia A. Your son is not at risk.
  d. Your sons should have coagulation studies.

[wtf444]

Answer to Question 1

ANS: A
Splinting the affected knee is necessary to retain anatomic alignment while the pain is severe. Analgesia should be given as needed. Physical therapy and ROM are appropriate after pain has subsided.

Answer to Question 2

ANS: C
Hemophilia A is an X-linked trait. Females are carriers; therefore, the patient's daughter could pass the disease to her sons. The patient's sons are not at risk for hemophilia A.

[LCritchfi]

Thank you

[wtf444]

Happy to help you