The nurse is teaching the family of a child,age 8 years,with moderate hemophilia about home care.What should the nurse tell the family to do to minimize joint injury?
A) Administer nonsteroidal anti-inflammatory drugs (NSAIDs).
B) Administer DDAVP (synthetic vasopressin).
C) Provide intravenous (IV) infusion of factor VIII concentrates.
D) Encourage elevation and application of ice to the involved joint.

Question

Quizplus · Accepted Answer

Parents are taught home infusion of factor VIII concentrate.For moderate and severe hemophilia,prompt IV administration is essential to prevent joint injury.NSAIDs are effective for pain relief.They must be given with caution because they inhibit platelet aggregation.A factor VIII level of 30% is necessary to stop bleeding.DDAVP can raise the factor VIII level fourfold.Moderate hemophilia is defined by a factor VIII activity of 4.9.A fourfold increase would not meet the 30% level.Ice and elevation are important adjunctive therapy,but factor VIII is necessary.

The Nurse Is Teaching the Family of a Child,age 8