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An adolescent client is hospitalized with menarthrosis from a Hemophilia A bleeding episode. Which order should be questioned by the nurse?

A) Passive range of motion
B) Replacement of factor VIII
C) Aspirin for pain management
D) Immobilization splint

User Thanos
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1 Answer

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Final answer:

Aspirin should be questioned for pain management in a Hemophilia A patient due to its effect on platelet function, as it can exacerbate bleeding. Other orders are integral to the management of Hemophilia A and do not pose additional bleeding risks.

Step-by-step explanation:

The order that should be questioned by the nurse for an adolescent hospitalized with menarthrosis from a Hemophilia A bleeding episode is C) Aspirin for pain management. Aspirin is known to interfere with platelet function and can exacerbate bleeding tendencies in individuals with clotting disorders like Hemophilia A. Since the disorder involves a deficiency in clotting factor VIII, which is crucial for blood coagulation, using medications that further impair clotting can be harmful. Therefore, alternatives for pain management that do not affect blood clotting should be considered.

Hemophilia A patients require special care when it comes to managing symptoms and preventing exacerbation of their condition. Replacement of factor VIII is essential for these patients to provide the missing clotting factor needed for proper blood coagulation. Immobilization splints can help stabilize affected joints and prevent further injury, while passive range of motion exercises may be used to maintain joint mobility without contributing to bleeding risk.

User Joerg Krause
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