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
Explanation
Choice A rationale:
"Can you describe the triggers for your bleeding episodes?”
This is the correct choice.
Understanding the triggers for bleeding episodes can help determine the type and severity of hemophilia.
For example, frequent spontaneous bleeding without apparent triggers may suggest severe hemophilia, while bleeding triggered by trauma or surgery may indicate a milder form.
Choice B rationale:
"What is the frequency of your joint pain?”
This choice is relevant to assessing the impact of hemophilia on the patient's quality of life but does not directly help determine the type and severity of hemophilia.
Choice C rationale:
"Do you have a family history of hemophilia?”
While family history is important in assessing the risk of hemophilia, it alone does not provide information about the type and severity of the patient's condition.
Choice D rationale:
"Have you been prescribed antifibrinolytic agents?”
This question pertains to treatment rather than the assessment of the type and severity of hemophilia.
It is important to know the treatment history but does not provide direct insight into the condition's severity.
Correct Answer is C
Explanation
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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