Question

A nurse is planning the care of a patient who has a diagnosis of hemophilia A. When addressing the

nursing diagnosis of Acute Pain Related to Joint Hemorrhage, what principle should guide the nurses
choice of interventions?
A) Gabapentin (Neurontin) is effective because of the neuropathic nature of the patients pain.
B) Opioids partially inhibit the patients synthesis of clotting factors.
C) Opioids may cause vasodilation and exacerbate bleeding.
D) NSAIDs are contraindicated due to the risk for bleeding.

Answer 1

The key principle for choosing interventions for hemophilia patients with Acute Pain Related to Joint Hemorrhage is to avoid NSAIDs due to their risk of increasing bleeding. Opioids may be used but with caution due to possible side effects such as vasodilation. The choice of analgesic should consider the specific type of pain and the patient's condition.

Step-by-step explanation:

When planning care for a patient diagnosed with hemophilia A and addressing the nursing diagnosis of Acute Pain Related to Joint Hemorrhage, the principle that should guide the nurse's choice of interventions is that NSAIDs are contraindicated due to the risk for bleeding. This is because NSAIDs can interfere with the blood clotting process, which could exacerbate the patient's condition. For pain management in hemophilia patients, medication options need to be carefully considered to avoid increasing the risk of bleeding.

While opioids can be used in pain management, they should be approached with caution due to potential side effects like vasodilation, which may worsen bleeding. Furthermore, the patient's pain in this case is not neuropathic; therefore, drugs like gabapentin would not be effective. The choice of analgesic must take into account the type of pain and underlying health concerns specific to hemophilia.