A patient has been diagnosed with von Willebrand's disease (vWD). What patient education should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. This disorder is inherited.
2. This disorder affects only women.
3. This disorder occurs more frequently than was once recognized.
4. This disorder can cause excessive bleeding or excessive clotting.
5. This disease can be cured with administration of von Willebrand's factor.
1,3,4
Rationale 1: vWD is the most common inherited bleeding disorder.
Rationale 2: Both men and women are affected by this disorder.
Rationale 3: It is thought that the prevalence of vWD has been underestimated.
Rationale 4: There are more than 40 variations of vWD. Some involve insufficient factor and result in bleeding, while others involve too much factor and result in thrombosis.
Rationale 5: The disease is not curable, but it can be managed with medications and factor replacement.
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