Question

A nurse is reinforcing teaching with the parent of a child who has hemophilia and is experiencing acute hemarthrosis. Which of the following instructions should the nurse include in the teaching?

(A) Apply ice packs to the affected joint for 15-20 minutes at a time, every 2-3 hours.

(B) Elevate the affected joint above the level of the heart.

(C) Apply heat to the affected joint to reduce pain and swelling.

(D) Use a compression bandage to support the affected joint.

Answer 1

For a child with hemophilia experiencing acute hemarthrosis, ice application and elevation of the affected joint are essential steps in reducing pain and swelling. Compression may be used after bleeding has stopped.

Step-by-step explanation:

When teaching a parent how to care for a child with hemophilia who is experiencing acute hemarthrosis, several instructions should be included. One key instruction is: (A) Apply ice packs to the affected joint for 15-20 minutes at a time, every 2-3 hours to help reduce swelling and pain.

Additional steps that are recommended include (B) elevation of the affected joint above the level of the heart to decrease blood flow to the area, which can reduce swelling. Compression, such as a compression bandage, can be beneficial once active bleeding has stopped. It is important to note that applying heat is generally not recommended immediately after the injury, as it can increase bleeding and swelling.