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A client with hemophilia presents with symptoms of bleeding into muscles, soft tissues, and gastrointestinal tract.
Which statement by the nurse is correct?

"It's essential to limit your fluid intake to prevent further bleeding.”

"Let's administer aspirin to help with the pain and swelling.”

"I'll monitor your condition closely and provide appropriate treatments.”

"This bleeding is normal and should resolve on its own.”

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

Choice A rationale:

The client has a normal coagulation profile.

This choice is incorrect because the client's prolonged PTT suggests a problem with the intrinsic pathway of coagulation, which is typical in hemophilia.

A normal coagulation profile would show normal values for both PTT and PT.

Choice B rationale:

The client may have a vitamin K deficiency.

This choice is not applicable in this context.

A vitamin K deficiency primarily affects the extrinsic pathway of coagulation, leading to an elevated PT, but it does not typically affect the PTT, which is prolonged in hemophilia.

Choice C rationale:

The client likely has hemophilia.

This is the correct choice.

Hemophilia is characterized by a deficiency or dysfunction of clotting factors, most commonly factor VIII (hemophilia A) or factor IX (hemophilia B)

Prolonged PTT with normal PT is a classic laboratory finding in hemophilia.

Choice D rationale:

The client is at risk for thrombosis.

This choice is incorrect.

Hemophilia is associated with bleeding tendencies, not an increased risk of thrombosis.

Prolonged PTT indicates a reduced ability to form clots, making thrombosis less likely.

A. Genetic testing for the F8 or F9 gene mutations. B. Prothrombin time (PT) C. Partial thromboplastin time (PTT) D. Platelet count. E. Fibrinogen levels.

Correct Answer is ["A","C","E"]

Explanation

Choice A rationale:

Genetic testing for the F8 or F9 gene mutations.

Rationale: Genetic testing for mutations in the F8 (Factor VIII) or F9 (Factor IX) genes is a critical diagnostic evaluation for hemophilia.

Hemophilia A is caused by mutations in the F8 gene, while hemophilia B is caused by mutations in the F9 gene.

Choice B rationale:

Prothrombin time (PT)

Rationale: PT is not typically used to diagnose hemophilia.

It primarily evaluates the extrinsic and common coagulation pathways, which are not directly related to hemophilia, which is a disorder of the intrinsic coagulation pathway.

Choice C rationale:

Partial thromboplastin time (PTT)

Rationale: PTT is one of the key tests used to diagnose hemophilia.

It assesses the intrinsic coagulation pathway, and prolonged PTT results may indicate a bleeding disorder, including hemophilia.

Choice D rationale:

Platelet count.

Rationale: Platelet count is not a specific test for diagnosing hemophilia.

Hemophilia is a deficiency in clotting factors, not a platelet disorder.

Platelet counts are typically normal in individuals with hemophilia.

Choice E rationale:

Fibrinogen levels.

Rationale: Fibrinogen levels are not typically used to diagnose hemophilia.

Hemophilia is characterized by deficiencies in specific clotting factors (Factor VIII or Factor IX), and fibrinogen levels are not directly related to these factors.

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A client with hemophilia presents with symptoms of bleeding into muscles, soft tissues, and gastrointestinal tract.Which statement by the nurse is correct?

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Naxlex Comprehensive Predictor Exams

A client with hemophilia has prolonged partial thromboplastin time (PTT) and normal prothrombin time (PT) What does this laboratory result indicate about the client's condition?

Correct Answer is C

Explanation

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Correct Answer is ["A","C","E"]

Explanation

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A client with hemophilia presents with symptoms of bleeding into muscles, soft tissues, and gastrointestinal tract.
Which statement by the nurse is correct?