Family Teaching
The nurse is providing education to the family of a 5-year-old
child with hemophilia A. The parents state the child is active
and they are concerned about injuries while the child is
playing outside. Which interventions should the nurse include
in the teaching, should the child get injured while playing
outside? Select all that apply.
Begin prophylactic factor VIII therapy Have the child
take rest periods
When a child with hemophilia develops bleeding into a joint,
the parents should have the child rest and begin factor VIII
therapy. If therapy is started immediately, usually other
interventions such as ice are not necessary. Starting factor
VIII immediately helps prevent chronic joint disease.
Nursing Priority
A toddler with hemophilia is hospitalized with multiple
injuries after falling off a slide. No bone fractures are noted
on x-rays. When caring for the child, what is the nurse's
highest priority?
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, Frequently assessing the child's level of consciousness
In hemophilia, one of the factors required for blood clotting is
absent, significantly increasing the risk of hemorrhage after
injury. Therefore, the nurse must assess the child frequently
for signs and symptoms of intracranial bleeding, such as an
altered level of consciousness (LOC), slurred speech,
vomiting, and headache. To manage hemophilia, the absent
blood clotting factor is replaced via intravenous (IV) infusion
of factor, cryoprecipitate, or fresh frozen plasma; this may be
done prophylactically or after a traumatic injury.
MODULE 4
Pediatric Hematologic Alterations:
Sickle Cell
This lesson provides an overview of how the nurse provides
care for pediatric clients with sickle cell anemia. Sickle cell
disease is a group of diseases in which abnormal sickle
hemoglobin S (Hgb S) replaces normal adult hemoglobin
(Hgb A).
Sickle cell anemia is the homozygous and most common form
of sickle cell disease. Sickle cell anemia is an inherited,
autosomal- recessive genetic disorder that affects the red
blood cells (RBCs), which become acutely sickle-shaped,
occluding small blood vessels (blocking blood flow) causing
pain and decreased function. The child must receive the
autosomal-recessive gene from both parents in order to have
sickle cell anemia. If a child has sickle cell trait, then the child
inherited the gene from one parent but is asymptomatic.
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 07:52:38 GMT -06:00
https://www.coursehero.com/file/252981845/NR-328-Week-3-Edapt-Family-Teachingdocx/
The nurse is providing education to the family of a 5-year-old
child with hemophilia A. The parents state the child is active
and they are concerned about injuries while the child is
playing outside. Which interventions should the nurse include
in the teaching, should the child get injured while playing
outside? Select all that apply.
Begin prophylactic factor VIII therapy Have the child
take rest periods
When a child with hemophilia develops bleeding into a joint,
the parents should have the child rest and begin factor VIII
therapy. If therapy is started immediately, usually other
interventions such as ice are not necessary. Starting factor
VIII immediately helps prevent chronic joint disease.
Nursing Priority
A toddler with hemophilia is hospitalized with multiple
injuries after falling off a slide. No bone fractures are noted
on x-rays. When caring for the child, what is the nurse's
highest priority?
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 07:52:38 GMT -06:00
https://www.coursehero.com/file/252981845/NR-328-Week-3-Edapt-Family-Teachingdocx/
, Frequently assessing the child's level of consciousness
In hemophilia, one of the factors required for blood clotting is
absent, significantly increasing the risk of hemorrhage after
injury. Therefore, the nurse must assess the child frequently
for signs and symptoms of intracranial bleeding, such as an
altered level of consciousness (LOC), slurred speech,
vomiting, and headache. To manage hemophilia, the absent
blood clotting factor is replaced via intravenous (IV) infusion
of factor, cryoprecipitate, or fresh frozen plasma; this may be
done prophylactically or after a traumatic injury.
MODULE 4
Pediatric Hematologic Alterations:
Sickle Cell
This lesson provides an overview of how the nurse provides
care for pediatric clients with sickle cell anemia. Sickle cell
disease is a group of diseases in which abnormal sickle
hemoglobin S (Hgb S) replaces normal adult hemoglobin
(Hgb A).
Sickle cell anemia is the homozygous and most common form
of sickle cell disease. Sickle cell anemia is an inherited,
autosomal- recessive genetic disorder that affects the red
blood cells (RBCs), which become acutely sickle-shaped,
occluding small blood vessels (blocking blood flow) causing
pain and decreased function. The child must receive the
autosomal-recessive gene from both parents in order to have
sickle cell anemia. If a child has sickle cell trait, then the child
inherited the gene from one parent but is asymptomatic.
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 07:52:38 GMT -06:00
https://www.coursehero.com/file/252981845/NR-328-Week-3-Edapt-Family-Teachingdocx/
