A nurse is educating a group of nursing students about the treatment options for hemophilia.
What intervention should the nurse include in the teaching?
Administering anticoagulants to promote clot formation.
Encouraging regular physical activity to prevent bleeding episodes.
Administering factor replacement therapy to replace deficient clotting factors.
Administering iron supplements to improve hemoglobin levels.
The Correct Answer is C
Choice A rationale:
Administering anticoagulants to promote clot formation is not appropriate for the treatment of hemophilia.
Anticoagulants are medications that thin the blood and prevent the formation of blood clots.
However, in individuals with hemophilia, the issue is not the formation of excessive clots but rather the inability to form effective clots due to a deficiency in clotting factors.
Therefore, anticoagulants would worsen the bleeding disorder and are not a suitable intervention.
Choice B rationale:
Encouraging regular physical activity to prevent bleeding episodes is a reasonable recommendation for individuals with hemophilia.
Regular, low-impact physical activity can help strengthen muscles and joints, which may reduce the risk of bleeding episodes and joint damage.
However, this alone is not a treatment for hemophilia but rather a preventive measure.
Choice C rationale:
Administering factor replacement therapy is the primary treatment for hemophilia.
Hemophilia is characterized by a deficiency in specific clotting factors (Factor VIII for Hemophilia A and Factor IX for Hemophilia B)
Replacement therapy involves infusing the missing clotting factor to achieve normal or near-normal levels, allowing the blood to clot properly.
This intervention is crucial in managing and preventing bleeding episodes in individuals with hemophilia.
Choice D rationale:
Administering iron supplements to improve hemoglobin levels is not a direct treatment for hemophilia.
Hemophilia is a clotting disorder, and iron supplements are typically used to treat conditions related to iron deficiency anemia.
While individuals with hemophilia may experience anemia as a result of chronic bleeding, the primary treatment for hemophilia involves addressing the clotting factor deficiency through factor replacement therapy.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
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.
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