A nurse is educating a family about bleeding disorders while they await the results of their child's laboratory testing. Which of the following statements accurately describes the differences in the causes of hemophilia A, hemophilia B, and von Willebrand disease? (Select All that Apply.)
Hemophilia A is a result of insufficient or absent factor VIII.
Von Willebrand disease is a disorder that occurs because of excess production of von Willebrand Factor.
Hemophilia B results from insufficient or absent factor IX.
Von Willebrand disease is a disorder that occurs because of absent or insufficient von Willebrand Factor.
Hemophilia A is a result of insufficient or absent fibrinogen.
Correct Answer : A,C,D
A. Hemophilia A is a result of insufficient or absent factor VIII is correct. Hemophilia A is caused by a deficiency or absence of clotting factor VIII, which impairs the ability of blood to clot properly.
B. Von Willebrand disease is a disorder that occurs because of excess production of von Willebrand Factor is incorrect. Von Willebrand disease is actually caused by a deficiency or dysfunction of von Willebrand Factor, which is necessary for platelet adhesion and clotting.
C. Hemophilia B results from insufficient or absent factor IX is correct. Hemophilia B is caused by a deficiency of clotting factor IX, similar to hemophilia A, but involves a different clotting factor.
D. Von Willebrand disease is a disorder that occurs because of absent or insufficient von Willebrand Factor is correct. This disorder involves a deficiency or dysfunction of von Willebrand Factor, which leads to impaired clotting and easy bleeding.
E. Hemophilia A is a result of insufficient or absent fibrinogen is incorrect. Hemophilia A is caused by a deficiency of factor VIII, not fibrinogen, which is involved in the final steps of the clotting cascade.
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Related Questions
Correct Answer is B
Explanation
A. "Since there's a family history, your child is at a higher risk of intussusception." is not entirely accurate. Family history does not significantly increase the risk of intussusception. It is more commonly seen in infants and toddlers, not school-age children.
B. "Intussusception is more common in infants and toddlers, so your child is at a lower risk." is correct. Intussusception typically occurs in infants and toddlers between the ages of 6 months and 3 years, so the risk is lower in school-age children.
C. "The risk of intussusception remains the same across all age groups, so your child has an equal risk." is incorrect. The incidence of intussusception is higher in younger children, particularly those under 2 years old.
D. "Intussusception is a common condition in school-age children, so your child is at a higher risk." is incorrect. Intussusception is less common in school-age children and is more frequently seen in younger children.
Correct Answer is B
Explanation
A. Hematuria (blood in the urine) can occur in some conditions, but it is not a primary complication of hemophilia. Hemophilia more commonly leads to bleeding into joints and muscles rather than the urinary tract.
B. Hemarthrosis (bleeding into the joints) is a common complication of hemophilia. It occurs due to the lack of clotting factors, which prevents normal blood clotting and allows bleeding into joints, causing pain, swelling, and long-term joint damage.
C. Hemoptysis (coughing up blood) is not a typical complication of hemophilia, though it can occur in various respiratory conditions, such as infections or lung issues.
D. Hematemesis (vomiting blood) is a serious condition but is not commonly associated with hemophilia. Hemophilia's major complications are related to joint and muscle bleeding.
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