Author Question: The nurse reviews for a family how the development of synthetic recombinant antihemophilic factor ... (Read 20 times)

jerry coleman · **on:** Jun 27, 2018

The nurse reviews for a family how the development of synthetic recombinant antihemophilic factor has improved the management of hemophilia A because this drug: (Select all that apply.)

a. Eliminates the need for frequent transfusions
b. Can be administered by the family at home
c. Prevents hemorrhage
d. Reduces the cost of care of the hemophiliac
e. Reduces the risk of HIV and hepatitis A and B transmission

Question 2

Jackie's parents are concerned that her legs do not look symmetrical. As the nurse is assisting the doctor, it is noted that the child has Genu Varum.

The nurse knows that the difference in Genu Varum and normal bowing of the legs is: (Select all that apply.) 1. A difference in symmetry
2. No worsening with growth
3. Radiological changes are severe
4. That Genu Varum occurs before the age of two.
5. That most issues occur after puberty.

C.mcnichol98 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, B, D, E
The drug can be given at home by the family. Because it supplies the missing factor, transfusions are not necessary and consequently the exposure to HIV and hepatitis A and B is reduced. Cost of care is greatly reduced because hospitalizations and transfusions are not as frequently required. The drug does not prevent hemorrhage; it makes hemorrhage manageable.

Answer to Question 2

1, 2, 3
Feedback
1. Symmetry of the extremities could differ.
2. Growth will occur.
3. Serial X-rays will be required in order to measure curvature.
4. Usually occurs after the age of 2
5. The majority of the issues occur during the school-age years.