The unlicensed assistive personnel (UAP) asks shave.
the primary nurse, "How does 2. Avoid administering enemas to the client.
someone get hemophilia A?" Which statement 3. Encourage participation in noncontact sports.
would be the primary nurse's best 4. Teach the client how to apply direct pressure if
response? bleeding occurs.
5. Explain the importance of not flossing the
1. "It is an inherited X-linked recessive disorder." gums - ANSWER -2,3,4
2. "There is a deficiency of the clotting factor
VIII."
3. "The person is born with hemophilia A."
4. "The mother carries the gene and gives it to Which of the following disorders is a deficiency of
the son." - ANSWER -4 factor VIII?
1. Sickle cell disease
2. Christmas disease
Which sign/symptom should the nurse expect to 3. Hemophilia A
assess in the client diagnosed with 4. Hemophilia B - ANSWER -3
hemophilia A?
1. Epistaxis.
2. Petechiae. The physician has ordered several laboratory
3. Subcutaneous emphysema. tests to help diagnose an infant's bleeding
4. Intermittent claudication. - ANSWER -1 disorder. Which of the following tests, if
abnormal, would the nurse interpret as most
likely to indicate hemophilia?
The client with hemophilia A is experiencing 1. Bleeding time
hemarthrosis. Which intervention should the 2. Tourniquet test
nurse recommend to the client? 3. Clot retraction test
4. Partial thromboplastin time (PTT) -
1. Alternate aspirin and acetaminophen to help ANSWER -4
with the pain.
2. Apply cold packs for 24 to 48 hours to the
affected area.
3. Perform active range-of-motion exercise on A pediatric nurse health educator provides a
the extremity. teaching session to the nursing staff regarding
4. Put the affected extremity in the dependent hemophilia. Which of the following information
position. - ANSWER -2 regarding this disorder would the nurse plan to
include in this discussion?
1. Hemophilia is a Y linked disorder
Which nursing interventions should the nurse 2. Females inherit hemophilia from their fathers
implement when caring for a client diagnosed 3. Males inherit hemophilia from their mothers
with hemophilia A? Select all that apply. 4. Hemophilia B results from a deficiency in
clotting factor VIII - ANSWER -3
1. Instruct the client to use a razor blade to
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