The school nurse knows several children with hemophilia A. After recess, one student with hemophilia comes to the school nurse complaining of pain in his knee from falling on the playground The nurse notes there is swelling in the knee and pain on palpation. The nurse should
A) administer some NSAIDs to relieve the pain.
B) wrap the knee in an ace bandage for compression.
C) apply some warm compresses to the knee.
D) notify parents to pick up the child and possibly administer factor VIII.
Ans: D) notify parents to pick up the child and possibly administer factor VIII.
Feedback: Prevention of trauma is important. ASA and other NSAIDs that affect platelet function should be avoided. Factor VIII replacement therapy administered at home has reduced the typical musculoskeletal damage. Wrapping with a bandage will not prevent damage. Warm compression will extend the bleed.
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Which of the following frequently occurs in complex critical thinking?
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