A nurse is assessing a client with hemophilia.
Which clinical manifestations should the nurse expect to find? (Select all that apply.)

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.

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.