Question

A young man with a diagnosis of hemophilia A has been brought to emergency department after

suffering a workplace accident resulting in bleeding. Rapid assessment has revealed the source of the
patients bleeding and established that his vital signs are stable. What should be the nurses next action?
A) Position the patient in a prone position to minimize bleeding. B) Establish IV access for the administration of vitamin K.
C) Prepare for the administration of factor VIII.
D) Administer a normal saline bolus to increase circulatory volume.

Answer 1

Administering factor VIII is crucial for addressing the clotting factor deficiency in hemophilia A, ensuring effective hemostasis. Options B, D, and A are not appropriate in this context, as vitamin K, circulatory volume, and prone positioning are not the primary concerns in managing hemophilia A-related bleeding. The nurse's prompt action in preparing for factor VIII administration aligns with evidence-based practice for optimal patient outcomes.Thus option c is the correct option.

Step-by-step explanation:

In managing a young man with hemophilia A who has suffered a workplace accident leading to bleeding, the nurse's immediate action should be to prepare for the administration of factor VIII. Hemophilia A is characterized by a deficiency in clotting factor VIII, which plays a crucial role in blood clotting. Administering factor VIII is essential to replace the deficient clotting factor and facilitate effective hemostasis.

Administering a normal saline bolus (Option D) might be a consideration in some scenarios, but in the context of hemophilia A, the primary focus is on addressing the underlying cause – the deficiency in clotting factor VIII. Establishing IV access for the administration of vitamin K (Option B) is not appropriate in this case, as hemophilia A is not related to vitamin K deficiency. Positioning the patient in a prone position (Option A) is not the priority; instead, the emphasis should be on addressing the bleeding disorder with factor VIII replacement therapy.

In summary, the critical intervention for a patient with hemophilia A experiencing bleeding is the administration of factor VIII. This targeted approach addresses the specific deficiency causing the bleeding, promoting effective clotting and preventing further complications. It is crucial for the nurse to act promptly and coordinate with the healthcare team to ensure the timely administration of factor VIII, optimizing the patient's outcomes.

Therefore option c is the correct option.