Answer to Question 1
ANS: B, C, D
Nurses should take special precautions when caring for a child with hemophilia to prevent the use of procedures that may cause bleeding, such as IM injections. The subcutaneous route is substituted for IM injections whenever possible. Venipunctures for blood samples are usually preferred for these children. There is usually less bleeding after the venipuncture than after finger or heel punctures. Neither aspirin nor any aspirin-containing compound should be used. Acetaminophen is a suitable aspirin substitute, especially for controlling mild pain. A soft toothbrush is recommended for dental hygiene to prevent bleeding from the gums. Packed red blood cells are not administered. The primary therapy for hemophilia is replacement of the missing clotting factor. The products available are factor VIII concentrates.
Answer to Question 2
ANS: B, D, E
Because almost all persons with hemophilia are boys, the physical limitations in regard to active sports may be a difficult adjustment, and activity restrictions must be tempered with sensitivity to the child's emotional and physical needs. Use of protective equipment, such as padding and helmets, is particularly important, and noncontact sports, especially swimming, walking, jogging, tennis, golf, fishing, and bowling, are encouraged. Contact sports such as soccer and basketball are not recommended.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
Erythroblastosis fetalis. (a) The condition occurs with an RH+ father and RH– mother. (b) First preg
Nursing care plan - risk for infection
Patients of all socioeconomic backgrounds should be given equal care.
Cooperative Care: A pair of Caspian terns cooperate in caring for their chick.
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