Question

A nurse is caring for a client who has hemophilia. The client reports pain and swelling in a joint following an injury. Which of the following actions should the nurse take?

1) Apply ice to the affected joint
2) Administer pain medication
3) Elevate the affected joint
4) Refer the client to a physical therapist

Answer 1

For a client with hemophilia experiencing joint pain and swelling post-injury, the nurse should apply ice, manage pain with safe medications, and elevate the joint. Caution is needed with NSAIDs due to clotting risks. Referral to physical therapy should happen after initial acute management.

Step-by-step explanation:

When caring for a client with hemophilia who is experiencing pain and swelling in a joint due to an injury, the nurse should prioritize actions that address the symptoms while being mindful of the client's risk for bleeding. The recommended steps for managing such a situation include:

• Applying ice to the affected joint to reduce inflammation and swelling.
  
• Administering pain medication that is safe for individuals with bleeding disorders. NSAIDs should be avoided since they can interfere with blood clotting.
  
• Elevating the affected joint to decrease swelling and reduce pain.

Referring the client to a physical therapist is an important step, but it should be done after the acute phase of the injury has concluded and there is no risk of exacerbating bleeding.


The physical therapist will work closely with the patient and healthcare team to develop an appropriate physical therapy plan tailored to the client's needs and safety considerations.