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Chapter 22: Problem 121

The nurse is caring for a child with von Willebrand disease. Which finding is most often associated with won Willebrand disease? A. Subcutaneous and intramuscular hemorrhage B. Hematomas in the spinal cord C. Bleeding into joint cavities D. Epistaxis and gingival bleeding

Short Answer

Expert verified
Answer: Epistaxis and gingival bleeding.

Step by step solution

01

Understand von Willebrand disease

Von Willebrand disease is a genetic bleeding disorder caused by a lack or dysfunction of von Willebrand factor (VWF), a clotting protein that helps blood platelets to adhere to damaged blood vessel walls. It is important to know its common symptoms for this exercise.
02

Evaluate option A

A. Subcutaneous and intramuscular hemorrhage: While bleeding may occur in von Willebrand disease, subcutaneous and intramuscular hemorrhage are not the most common findings. We'll evaluate the other options before making a final decision.
03

Evaluate option B

B. Hematomas in the spinal cord: Spinal cord hematomas are rare and not commonly associated with von Willebrand disease. This option can be eliminated.
04

Evaluate option C

C. Bleeding into joint cavities: Although patients with von Willebrand disease may experience joint bleeding, it is not the most common finding. This bleeding is more commonly associated with hemophilia. We'll continue evaluating the remaining option.
05

Evaluate option D

D. Epistaxis and gingival bleeding: Epistaxis (nosebleeds) and gingival bleeding (bleeding gums) are common findings in von Willebrand disease. This is because the disease affects the ability of blood to clot, leading to bleeding from small blood vessels in the nose or gums.
06

Choose the correct answer

After evaluating all options, we can conclude that option D (Epistaxis and gingival bleeding) is the most often associated finding with von Willebrand disease. Therefore, the correct answer is: D. Epistaxis and gingival bleeding

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