Which type of patient is indicated to receive on-demand factor concentrate therapy?
a) A patient with mild hemophilia
b) A patient with severe hemophilia
c) A patient who is allergic to factor VIII
d) A patient who is bleeding or about to undergo surgery
Give this one a try later!
, d) A patient who is bleeding or about to undergo surgery
Rationale: On-demand therapy is indicated for patients who are bleeding
or about to undergo surgery. The dosage depends primarily on the site and
severity of the bleeding. It is not indicated for mild or severe hemophilia
and is not used in place of factor VIII. pg 630
Which recommendation about immunizations will the nurse provide to the parents of
a child with hemophilia?
a) Start immunizations as an adult.
b) Administer only inhaled immunizations.
c) Avoid immunization due to the risk of bleeding.
d) Have immunizations administered intramuscularly.
Give this one a try later!
d) Have immunizations administered intramuscularly
Rationale: Children with hemophilia should undergo the normal
immunization schedule. Some clinicians inject vaccines subcutaneously,
rather than intramuscularly, to avoid muscle hemorrhage. However,
because the efficacy of subcutaneous vaccination is not certain, and most
patients tolerate intramuscular injections without bleeding, intramuscular
vaccination is generally preferred. There is no need to administer only
inhaled vaccinations, as a child would not be able to be fully immunized.
The risk of bleeding after intramuscular injection can be reduced by
prolonged application of pressure. pg 629
Which intervention is essential in a patient diagnosed with hemophilia?
a) Daily administration of warfarin
b) Daily administration of 81 mg aspirin
a) A patient with mild hemophilia
b) A patient with severe hemophilia
c) A patient who is allergic to factor VIII
d) A patient who is bleeding or about to undergo surgery
Give this one a try later!
, d) A patient who is bleeding or about to undergo surgery
Rationale: On-demand therapy is indicated for patients who are bleeding
or about to undergo surgery. The dosage depends primarily on the site and
severity of the bleeding. It is not indicated for mild or severe hemophilia
and is not used in place of factor VIII. pg 630
Which recommendation about immunizations will the nurse provide to the parents of
a child with hemophilia?
a) Start immunizations as an adult.
b) Administer only inhaled immunizations.
c) Avoid immunization due to the risk of bleeding.
d) Have immunizations administered intramuscularly.
Give this one a try later!
d) Have immunizations administered intramuscularly
Rationale: Children with hemophilia should undergo the normal
immunization schedule. Some clinicians inject vaccines subcutaneously,
rather than intramuscularly, to avoid muscle hemorrhage. However,
because the efficacy of subcutaneous vaccination is not certain, and most
patients tolerate intramuscular injections without bleeding, intramuscular
vaccination is generally preferred. There is no need to administer only
inhaled vaccinations, as a child would not be able to be fully immunized.
The risk of bleeding after intramuscular injection can be reduced by
prolonged application of pressure. pg 629
Which intervention is essential in a patient diagnosed with hemophilia?
a) Daily administration of warfarin
b) Daily administration of 81 mg aspirin
