A client with hemophilia is at risk for complications.
Which complication should the nurse prioritize in the client's care plan?
Hypertension.
Deep vein thrombosis.
Hemarthrosis.
Hyperlipidemia.
The Correct Answer is C
Choice A rationale:
Hypertension is not a common complication of hemophilia.
While bleeding disorders like hemophilia can lead to bleeding in various body systems, hypertension is not directly associated with hemophilia.
Therefore, it is not a priority in the care plan for a client with hemophilia.
Choice B rationale:
Deep vein thrombosis (DVT) is a condition characterized by the formation of blood clots in deep veins, which can lead to serious complications.
While individuals with hemophilia are at an increased risk of bleeding, they are not at an increased risk of DVT.
In fact, individuals with hemophilia often have difficulty forming blood clots, making DVT less likely in this population.
Therefore, it is not a priority in the care plan for a client with hemophilia.
Choice D rationale:
Hyperlipidemia refers to high levels of lipids (fats) in the blood, such as cholesterol and triglycerides.
It is not a common complication of hemophilia, and there is no direct link between hemophilia and hyperlipidemia.
Therefore, it is not a priority in the care plan for a client with hemophilia.
Choice C rationale:
Hemarthrosis is a critical complication that should be prioritized in the care plan for a client with hemophilia.
Hemarthrosis is the bleeding into joint spaces, which can lead to severe pain, swelling, and reduced range of motion in the affected joint.
It is a common and serious complication in individuals with hemophilia because bleeding into joints can cause long-term damage and disability.
Therefore, the nurse should prioritize assessing and managing hemarthrosis in the client's care plan to prevent further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale:
The nurse should recommend avoiding invasive procedures and injections for a patient with hemophilia.
Hemophilia is a bleeding disorder characterized by a deficiency in clotting factors, and any invasive procedures or injections can lead to bleeding episodes.
This recommendation is essential to prevent unnecessary bleeding and complications.
Choice B rationale:
The use of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief is not a suitable recommendation for a patient with hemophilia.
NSAIDs can increase the risk of bleeding due to their antiplatelet effects.
It is crucial to avoid medications that can worsen bleeding in individuals with hemophilia.
Choice C rationale:
Engaging in gentle exercise to maintain joint function is a valuable recommendation for patients with hemophilia.
Hemophilia often leads to joint problems due to repeated bleeding episodes, and gentle exercise can help maintain joint mobility and prevent contractures.
It is essential to recommend exercise within the patient's tolerance to promote joint health.
Choice D rationale:
Monitoring for signs of anemia and thrombosis is important for patients with hemophilia.
Anemia can occur if there is excessive bleeding, leading to a decrease in red blood cell count.
Additionally, patients with hemophilia are at risk of developing thrombosis due to treatment with clotting factor concentrates.
Therefore, regular monitoring for these complications is necessary to ensure timely intervention if needed.
Choice E rationale:
Applying heat to bleeding joints to alleviate pain is not a recommended practice for patients with hemophilia.
Heat can increase blood flow to the affected area, potentially exacerbating bleeding.
Cold therapy, such as ice packs, is often recommended to reduce inflammation and pain while minimizing the risk of bleeding.
Correct Answer is C
Explanation
Choice A rationale:
"It's essential to limit your fluid intake to prevent further bleeding." Rationale: This statement is incorrect.
Limiting fluid intake will not prevent bleeding in a client with hemophilia.
In fact, maintaining adequate hydration is important to prevent complications and maintain overall health.
Choice B rationale:
"Let's administer aspirin to help with the pain and swelling." Rationale: This statement is also incorrect.
Aspirin is not recommended for individuals with hemophilia as it can further increase the risk of bleeding due to its antiplatelet effects.
Administering aspirin would be contraindicated in this case.
Choice C rationale:
"I'll monitor your condition closely and provide appropriate treatments." Rationale: This is the correct statement.
For a client with hemophilia experiencing bleeding into muscles, soft tissues, and the gastrointestinal tract, close monitoring and appropriate treatments are essential.
This may include administering clotting factor concentrates, pain management, and supportive care.
Choice D rationale:
"This bleeding is normal and should resolve on its own." Rationale: This statement is incorrect and potentially dangerous.
Bleeding in a client with hemophilia is not normal and should not be left untreated.
Without intervention, it can lead to severe complications and even life-threatening situations.
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