A nurse is planning the care of a patient who has a diagnosis of hemophilia A. When addressing the nursing diagnosis of Acute Pain Related to Joint Hemorrhage, what principle should guide the nurse's choice of interventions?
A) Gabapentin (Neurontin) is effective because of the neuropathic nature of the patient's pain.
B) Opioids partially inhibit the patient's synthesis of clotting factors.
C) Opioids may cause vasodilation and exacerbate bleeding.
D) NSAIDs are contraindicated due to the risk for bleeding.
Ans: D
Feedback:
NSAIDs may be contraindicated in patients with hemophilia due to the associated risk of bleeding. Opioids do not have a similar effect and they do not inhibit platelet synthesis. The pain associated with hemophilia is not neuropathic.
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