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Chapter 23: Problem 152

The nurse is caring for a child newly diagnosed with hemophilia. Which would the nurse omit when assisting with a discharge plan? A. The child needs to wear a medic-alert bracelet. B. Avoid drugs containing aspirin and NSAIDs. C. Apply heat if bleeding in the joint occurs. D. Rectal temperatures should not be done.

Short Answer

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Answer: Apply heat if bleeding in the joint occurs.

Step by step solution

01

Understand Hemophilia and its Management

Hemophilia is a bleeding disorder where the blood does not clot properly. It is important for individuals with hemophilia to avoid situations that may lead to bleeding, and to know how to manage bleeding episodes when they occur. Therefore, special precautions need to be taken to ensure their safety.
02

Analyze the Options

A. The child needs to wear a medic-alert bracelet: This is important, as it allows others to know about the child's condition in case of an emergency. B. Avoid drugs containing aspirin and NSAIDs: Aspirin and NSAIDs can increase the risk of bleeding, so they should be avoided by people with hemophilia. C. Apply heat if bleeding in the joint occurs: This option requires further evaluation, as heat may cause increased blood flow and can worsen bleeding. D. Rectal temperatures should not be done: This is important, as there is a risk of injury and bleeding when taking a rectal temperature in a child with hemophilia.
03

Identify the Option to Omit

C. Apply heat if bleeding in the joint occurs: This option should be omitted in the discharge plan, as applying heat in such situations can increase bleeding risk by causing increased blood flow to the area. Instead, in cases of joint bleeding, it is recommended to apply ice to help constrict blood vessels, lessening bleeding and swelling. Therefore, the correct answer is option C.

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