The nurse is monitoring a patient with hemophilia who is ...

[ss2343]

The nurse is monitoring a patient with hemophilia who is receiving a factor VIII concentrate. During the assessment, the nurse notes that the patient has nasal congestion, and a red rash appears on the chest. The nurse should prepare to administer
 
  a. diphenhydramine (Benadryl).
  b. human albumin.
  c. epinephrine (Adrenaline).
  d. norepinephrine.

Question 2

A nurse provides patient education about immunizations to the parents of a child newly diagnosed with hemophilia. The nurse explains that the child should receive _________ to reduce the risk of _____________.
 
  a. polio vaccine; injury from falls related to polio
  b. hepatitis A and B immunization; hepatitis
  c. tetanus toxoid immunization; tetanus
  d. measles, mumps, and rubella (MMR) vaccine; pustules in the mucosal lining

[amandalm]

Answer to Question 1

ANS: A
Factor VIII concentrates can cause allergic reactions, which can range from mild to severe. Symptoms of a mild reaction include hives, rash, urticaria, stuffy nose, and fever. These can be managed with an antihistamine (eg, Benadryl).
Human albumin and norepinephrine are not indicated for allergic reactions.
Epinephrine is indicated for an anaphylactic reaction.

Answer to Question 2

ANS: B
To minimize the risk of hepatitis, all patients newly diagnosed with hemophilia should be vaccinated with hepatitis A and B vaccines.
Polio vaccine, tetanus immunization, and MMR may be indicated for all children; however, a child with hemophilia especially should be protected against hepatitis because of the risk of acquiring blood-borne disease during blood transfusions.