12. A toddler with hemophilia strikes the right knee against a coffee table. A nurse could best evaluate the effectiveness of the teaching the mother received regarding the early signs of hemarthrosis when the mother reports:
12. A toddler with hemophilia strikes the right knee against a coffee table. A nurse could best evaluate the effectiveness of the teaching the mother received regarding the early signs of hemarthrosis when the mother reports:
. Epistaxis.
. Spontaneous hematuria.
. Stiffness, tingling, and aching in the involved joint, followed by a decrease in ability to move the joint.
. Warmth, redness, and swelling in the involved joint with a considerable loss of movement.
Test-Taking Tip
Key focus is in the word "early" in the stem; also think of frequency; therefore, you can eliminate Answers 1 and 2 .
Content Area: Child Health, Hematological; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Pathophysiology
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Answer 1 is incorrect because, while epistaxis may occur following an injury, it is not as frequent as other kinds of hemorrhage. Answer 2 is incorrect because, while spontaneous hematuria is not uncommon and may occur following an injury, it is not as frequent as other kinds of hemorrhage. Answer 3 is correct because early signs of hemarthrosis include a feeling of stiffness, tingling, and aching in the involved joint, followed by a decrease in ability to move the joint. Answer 4 is incorrect because, while warmth, redness, and swelling in the involved joint are common signs and symptoms of a hemarthrosis, considerable loss of movement would be a later clinical manifestation.