A nurse is obtaining a history from a client suspected of having hemophilia.
What information should the nurse include in the history assessment?
Family history of bleeding disorders.
Recent traumatic injuries.
Medications affecting coagulation.
Allergies to latex products.
Correct Answer : A,B,C
Choice A rationale:
Family history of bleeding disorders.
Rationale: In the assessment of a client suspected of having hemophilia, it is essential to inquire about a family history of bleeding disorders because hemophilia is a genetic disorder, and a positive family history can be a strong indicator.
Choice B rationale:
Recent traumatic injuries.
Rationale: Inquiring about recent traumatic injuries is important because individuals with hemophilia are at increased risk of bleeding following injuries.
Knowing about recent trauma helps assess the risk of bleeding episodes.
Choice C rationale:
Medications affecting coagulation.
Rationale: It is crucial to inquire about medications that can affect coagulation, such as anticoagulants or antiplatelet agents, as these medications can increase the risk of bleeding in individuals with hemophilia.
Choice D rationale:
Allergies to latex products.
Rationale: While allergies to latex products should be assessed for safety reasons, it is not directly related to the diagnosis of hemophilia.
This information is important for overall patient safety but is not a specific factor in diagnosing hemophilia.
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 B
Explanation
"Apply pressure, ice, and compression to the affected joint."
Choice A rationale:
"Administer acetaminophen as prescribed." While pain management is essential for clients with hemophilia, acetaminophen is not the first-line choice because it does not have anti-inflammatory properties.
Additionally, in hemophilia, there is a risk of liver damage from excessive acetaminophen use.
Choice B rationale:
"Apply pressure, ice, and compression to the affected joint." This is the correct choice.
Applying ice and compression to the affected joint can help reduce pain and inflammation in clients with hemophilia.
It is a safe and effective nursing intervention.
Choice C rationale:
"Refer the client to genetic counseling services." Genetic counseling is important in hemophilia for family planning and risk assessment.
However, it is not the priority nursing intervention for managing acute joint pain.
Choice D rationale:
"Encourage the client to perform vigorous physical exercises." Encouraging vigorous physical exercises is not advisable for clients with hemophilia, especially when they are experiencing joint pain.
It can increase the risk of bleeding and further joint damage.
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