Which nursing action is appropriate when treating a school-age child, diagnosed with hemophilia, for a superficial wound above the knee?
1. Applying pressure to the area
2. Applying a warm, moist pack to the area
3. Performing some passive range-of-motion to the affected leg
4. Keeping the affected extremity in a dependent position
1
Explanation:
1. If a child with hemophilia experiences a bleeding episode, superficial bleeding should be controlled by applying pressure to the wound.
2. Heat would increase the bleeding by dilating the superficial blood vessels. A cool compress should be applied.
3. The extremity should be immobilized to prevent further bleeding; passive range-of-motion could cause further bleeding at the site.
4. The extremity should be elevated, if possible, to prevent swelling at the site.
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