Health Promotion and Maintenance
61. When providing anticipatory guidance to the parents of a child with hemophilia, a nurse should stress that:
Health Promotion and Maintenance
61. When providing anticipatory guidance to the parents of a child with hemophilia, a nurse should stress that:
. Active range-of-motion exercise should be used to treat sore joints.
. Aspirin should be given for minor bumps and bruises.
. Warm compresses should be applied to wounds to promote circulation.
. A soft toothbrush should be used to promote oral health.
Test-Taking Tip
Since the key concern in hemophilia is bleeding, look for the answer that is least likely to cause harm by increasing bleeding tendencies. Only Answer 4 prevents trauma.
Content Area: Child Health, Hematological; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
Health Promotion and Maintenance
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Answer 1 is incorrect because joint pain is often related to hemarthrosis, which should first be treated with immobilization and then later with passive, not active, range of motion. Answer 2 is incorrect because aspirin is contraindicated for the child with hemophilia as it increases the risk of bleeding. Answer 3 is incorrect because ice should be applied to injuries to promote vasoconstriction. Warm compresses are not recommended because these lead to vasodilation and potential bleeding. Answer 4 is correct because a soft toothbrush will prevent trauma to the child's gums (i.e., bleeding) while keeping the teeth clean.