NSG 223 Mod 4 - Blood Disorders Exam
Questions and Answers with Verified
Solutions | Latest Updated 2026
Hemophilia -Genetic (x-linked recessive)
-Bleeding disorder where blood doesn't
clot
normally
-Increased risk of bleeding after any injury
Hemophilia A -More common
-Lack of clotting factor VIII (8)
Hemophilia B (Christmas Disease) -Lack of clotting factor IX (9)
Hemophilia - Clinical -Pain
manifestations -Bruising
-Internal bleeding
-Ineffective tissue perfusion
-Hemarthrosis (blood fills articular space) -
joint
destruction, pain, erythema, swelling,
stiffness,
tingling
-Hematoma
-GI/GU bleeding
-Petechiae
-Intracranial bleeding
,Bleeding precautions -Avoid platelet inhibitors
-Avoid alcohol
-Avoid injections and invasive procedures
(SQ
preferred)
-Dental hygiene
Hemophilia - Diagnosis >Coagulation studies:
-Factor VIII/IX = absent/low
-Platelets = normal
-PTT = prolonged
**Hemophilia - Medical treatment -Recombinant Factor VIII/IX (first-line and
prophylactic treatment)
-Blood components
-Desmopressin
Desmopressin acetate - Class -Hemostatic (synthetic vasopressin)
-Antidiuretic hormone (ADH)
Desmopressin acetate - Action -Increase water reabsorption in renal
tubules
-Increase level of clotting factor VIII and
von
Willebrand factor
Desmopressin acetate - Indication -Hemophilia A
-Von Willebrand
-Diabetes insipidus
, Desmopressin acetate - -Control bleeding in hemophilia A and von
Therapeutic Willebrand's disease
effects -Increase in plasma activity in factor VIII
and vWF
levels.
-Reduce need for blood products
Desmopressin acetate - Adverse -HA
effects -Fluid retention
-Hyponatremia
Desmopressin acetate - -Intranasal or IV
Administration
Desmopressin acetate - -May need to limit water intake to avoid
Considerations FVE
Hemophilia - Nursing -Bleeding precautions and lifestyle
considerations restrictions
& pt education -Regular exercise but no contact sports
-How to administer recombinant factors
-Avoid nasal packing with epistaxis
-Medic alert bracelet
-Proper dental hygiene to prevent oral
bleeding -
soft toothbrush, no flossing
-No NSAIDs (esp. aspirin, clopidogrel)
-No alcohol (blood thinner)
-No razors (electric shavers only)
-Fiber and fluids to prevent constipation
Questions and Answers with Verified
Solutions | Latest Updated 2026
Hemophilia -Genetic (x-linked recessive)
-Bleeding disorder where blood doesn't
clot
normally
-Increased risk of bleeding after any injury
Hemophilia A -More common
-Lack of clotting factor VIII (8)
Hemophilia B (Christmas Disease) -Lack of clotting factor IX (9)
Hemophilia - Clinical -Pain
manifestations -Bruising
-Internal bleeding
-Ineffective tissue perfusion
-Hemarthrosis (blood fills articular space) -
joint
destruction, pain, erythema, swelling,
stiffness,
tingling
-Hematoma
-GI/GU bleeding
-Petechiae
-Intracranial bleeding
,Bleeding precautions -Avoid platelet inhibitors
-Avoid alcohol
-Avoid injections and invasive procedures
(SQ
preferred)
-Dental hygiene
Hemophilia - Diagnosis >Coagulation studies:
-Factor VIII/IX = absent/low
-Platelets = normal
-PTT = prolonged
**Hemophilia - Medical treatment -Recombinant Factor VIII/IX (first-line and
prophylactic treatment)
-Blood components
-Desmopressin
Desmopressin acetate - Class -Hemostatic (synthetic vasopressin)
-Antidiuretic hormone (ADH)
Desmopressin acetate - Action -Increase water reabsorption in renal
tubules
-Increase level of clotting factor VIII and
von
Willebrand factor
Desmopressin acetate - Indication -Hemophilia A
-Von Willebrand
-Diabetes insipidus
, Desmopressin acetate - -Control bleeding in hemophilia A and von
Therapeutic Willebrand's disease
effects -Increase in plasma activity in factor VIII
and vWF
levels.
-Reduce need for blood products
Desmopressin acetate - Adverse -HA
effects -Fluid retention
-Hyponatremia
Desmopressin acetate - -Intranasal or IV
Administration
Desmopressin acetate - -May need to limit water intake to avoid
Considerations FVE
Hemophilia - Nursing -Bleeding precautions and lifestyle
considerations restrictions
& pt education -Regular exercise but no contact sports
-How to administer recombinant factors
-Avoid nasal packing with epistaxis
-Medic alert bracelet
-Proper dental hygiene to prevent oral
bleeding -
soft toothbrush, no flossing
-No NSAIDs (esp. aspirin, clopidogrel)
-No alcohol (blood thinner)
-No razors (electric shavers only)
-Fiber and fluids to prevent constipation
