Try Naxlex NCLEX-RN (Free-Trial)

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale:

Hemophilia A is indeed caused by a mutation in the F8 gene, which encodes factor VIII.

Factor VIII is essential for blood clotting, and mutations in this gene lead to a deficiency or dysfunction of factor VIII, resulting in hemophilia A.

This response provides accurate information about the cause of the condition.

Choice B rationale:

Hemophilia A is not caused by a mutation in the F9 gene, which encodes factor IX.

Factor IX deficiency is associated with hemophilia B, not hemophilia A.

This statement is incorrect.

Choice C rationale:

Hemophilia A is not caused by a mutation in the Y chromosome.

As mentioned earlier, it is caused by a mutation in the F8 gene on the X chromosome.

This statement is incorrect.

Choice D rationale:

Hemophilia A is not caused by a deficiency of vitamin K.

Vitamin K deficiency can lead to bleeding disorders, but it is not the cause of hemophilia A.

This statement is incorrect.

A. "Hemophilia A is more common than hemophilia B.” B. "Hemophilia is inherited through a defective gene on the Y chromosome.” C. "Males inherit hemophilia from their mothers who carry the defective gene.” D. "Females can also have hemophilia, but it is very rare.”

Correct Answer is D

Explanation

Choice A rationale:

Hemophilia A and hemophilia B are both types of hemophilia, but hemophilia A is actually less common than hemophilia B.

The prevalence of hemophilia A is about 1 in 5,000 males, whereas hemophilia B occurs in about 1 in 25,000 males.

Therefore, this statement is incorrect.

Choice B rationale:

Hemophilia is not inherited through a defective gene on the Y chromosome.

Hemophilia is an X-linked recessive genetic disorder, which means it is caused by a mutation in genes located on the X chromosome, not the Y chromosome.

This statement is incorrect.

Choice C rationale:

This statement is correct.

Males inherit hemophilia from their mothers who carry the defective gene on one of their X chromosomes.

However, it's important to note that females can also be carriers of the gene and can pass it on to their sons.

This statement does not indicate a need for further teaching.

Choice D rationale:

This statement is incorrect.

While it is very rare for females to have hemophilia, it is not impossible.

Females can inherit hemophilia if they have two affected X chromosomes or if they inherit one affected X chromosome and one affected Y chromosome.

Therefore, this statement does not indicate a need for further teaching.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with hemophilia A asks the nurse about the cause of the condition.Which response by the nurse is accurate?

Correct Answer is A

Explanation

A nurse is providing education to a group of parents about hemophilia.Which statement by one of the parents indicates a need for further teaching?

Correct Answer is D

Explanation

A nurse is assessing a patient with hemophilia.Which aspect of the assessment should the nurse prioritize to determine the type and severity of hemophilia?

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?

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

A nurse is educating a group of nursing students about the treatment options for hemophilia.What intervention should the nurse include in the teaching?

A nurse is caring for a patient with mild to moderate hemophilia

A nurse is caring for a client with hemophilia.The client reports pain, swelling, and reduced range of motion in their joints.Which of the following statements by the nurse is appropriate?

A client with hemophilia reports joint pain.What nursing intervention should the nurse prioritize for managing the client's pain?

A nurse is obtaining a history from a client suspected of having hemophilia.What information should the nurse include in the history assessment?

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