The nurse is providing discharge teaching to a client with ...

[tiara099]

The nurse is providing discharge teaching to a client with hemophilia. What should be the focus of this client's teaching?
 
  1. Diet counseling.
  2. Side effects of medications.
  3. Prevention of injury.
  4. Dressing warmly in the winter.

Question 2

The client with hemophilia is about to undergo extensive dental work. The nurse instructs the client that, prior to going to the dentist, the client will need:
 
  1. To sign a consent for the dental work.
  2. A transfusion of fresh frozen plasma.
  3. To eat a diet high in folic acid.
  4. An infusion of chemotherapy.

[nmyers]

Answer to Question 1

Answer: 3

1. The hemophiliac should eat a healthy diet, as everybody should. There are no special dietary instructions for a hemophiliac.
2. Hemophilia is not treated with medication.
3. Since the smallest cut can cause profuse bleeding, the focus of teaching for the client with hemophilia is prevention of injury.
4. There are no special requirements for dress in winter for the hemophiliac.

Answer to Question 2

Answer: 2

1. A consent form for most dental work is unnecessary.
2. Hemophilia clients are missing factors necessary for clotting. Fresh frozen plasma will replace those factors, and is given periodically and prior to surgery or dental work.
3. Folic acid is not effective in restoring clotting factors.
4. Chemotherapy is not used to treat hemophilia.