Final answer:
When a child with hemophilia reports pain after a fall, a nurse should apply ice, monitor for signs of internal bleeding, notify the parents, and consider pain medication depending on the circumstances. It is also important to have appropriate access and fluids available in case of significant blood loss. option 3
Step-by-step explanation:
If a school-aged child with hemophilia falls on the playground and reports a pain level of 4 on a scale of 0 to 10, there are a few actions a nurse should take to ensure the child is properly cared for. First, it is wise to apply ice to the affected area to reduce swelling and manage pain. Second, given the risk of internal bleeding that comes with hemophilia, the nurse should closely monitor for signs of this potentially serious complication, such as swelling, warmth, tingling, pain, or tightness in joints. And lastly, the nurse should notify the child's parents about the incident and current condition of their child, as well as any interventions provided or necessary steps moving forward. Pain medication may also be considered based on the severity of the pain and the physician's orders.
Assessment of the pain using reliable pain scales such as the Wong-Baker Faces Scale can be useful to gauge the severity of the child's discomfort. In addition to real-time interventions, ensuring that appropriate access and fluids are available is critical in case there is a significant blood loss, as hemophiliacs have a higher risk of serious ongoing bleeding.