Question

The nurse is planning care for a school-age child admitted to the hospital with hemophilia. Which interventions should the nurse plan to implement for this child? (Select all that apply.)

A) Finger sticks for blood work instead of venipunctures
B) Avoidance of IM injections
C) Acetaminophen (Tylenol) for mild pain control
D) Soft toothbrush for dental hygiene
E) Administration of packed red blood cells

Answer 1

For a school-age child with hemophilia, the nurse should plan interventions such as finger sticks for blood work, avoidance of IM injections, acetaminophen for pain control, and the use of a soft toothbrush for dental hygiene.

Step-by-step explanation:

For a school-age child admitted to the hospital with hemophilia, the nurse should plan the following interventions:

• Finger sticks for blood work instead of venipunctures: This is to minimize the risk of excessive bleeding from venipuncture sites.
• Avoidance of IM injections: Intramuscular injections can lead to bleeding and should be avoided in children with hemophilia.
• Acetaminophen (Tylenol) for mild pain control: Acetaminophen can be used for pain relief in children with hemophilia, as it does not affect the clotting process.
• Soft toothbrush for dental hygiene: A soft toothbrush helps prevent gum bleeding in children with hemophilia.

Administration of packed red blood cells is not typically indicated for a child with hemophilia, as it does not address the underlying clotting factor deficiency.