Question

The nurse is caring for a 13-year-old girl with von Willebrand's disease. The nurse is providing instructions about home care to the girl and her parents. Which of the following responses indicates a need for further teaching?

A) We need to administer Stimate prior to dental work.
B) She may suffer from menorrhagia.
C) We should administer desmopressin as often as needed.
D) She may have frequent nosebleeds.

Answer 1

The correct response that indicates a need for further teaching is Option C: We should administer desmopressin as often as needed.

Step-by-step explanation:

The correct response that indicates a need for further teaching is Option C: We should administer desmopressin as often as needed.

Von Willebrand's disease is a genetic disorder that affects the body's ability to clot blood. It is caused by a deficiency or dysfunction of von Willebrand factor, a protein involved in blood clotting. The most common symptoms of this disease include frequent nosebleeds, heavy or prolonged menstrual bleeding (menorrhagia), and excessive bleeding after dental procedures.

Stimate is a medication used to treat bleeding episodes in individuals with von Willebrand's disease. It is typically administered prior to dental work to prevent excessive bleeding. Desmopressin, on the other hand, is used to increase von Willebrand factor levels in the blood and is typically given as needed, rather than on a continuous basis.

Therefore, option C indicates a need for further teaching because administering desmopressin as often as needed is not an appropriate approach to managing von Willebrand's disease.