A ten-year-old boy with classic hemophilia is admitted to the hospital for hemorrhage into the knee joint. Treatment is instituted on admission. What would be an appropriate nursing diagnosis for this child?

Question

1. Risk for impaired physical mobility related to joint stiffness and contractures
2. Risk for impaired tissue perfusion (cerebral) related to blood loss.
3. Activity intolerance related to bleeding
4. Disturbed body image related to swollen knee

Answer 1

1
Rationale 1: A bleed into the joint can lead to permanent contracture of the joint. Bone changes can result from the immobility associated with the bleed.
Rationale 2: Bleeding into the knee joint tends to be limited and decreased blood flow to the brain is unlikely.
Rationale 3: Activity intolerance is not the best diagnosis for this child.
Rationale 4: Although the knee will be swollen, body image is not the priority diagnosis at this time.
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