A nurse is caring for a client in a pediatric unit. The child has been experiencing frequent nosebleeds and easy bruising. The family expresses concern about the child's unusual bleeding patterns following minor injuries Based on the following clinical scenario, determine if the nursing actions regarding the potential diagnosis of hemophilia are anticipated or contraindicated.
Explanation & Rationale
Rationale: Administering factor VIII concentrates is the primary treatment for hemophilia A, as it replaces the deficient clotting factor and helps control bleeding episodes. This intervention directly addresses the underlying coagulation disorder and prevents complications from prolonged bleeding. Encouraging the child to avoid contact sports reduces the risk of trauma and bleeding episodes. Preventive strategies are essential in managing hemophilia to minimize injury and maintain safety. Restricting the child from all play is not appropriate because it can negatively impact physical, emotional, and social development. Children with hemophilia should be encouraged to participate in safe, low-impact activities that promote normal growth and well-being. Screening for potential child abuse is appropriate because frequent bruising and bleeding may mimic signs of abuse. A thorough assessment ensures accurate diagnosis and protects the child while distinguishing between a medical condition and possible external harm.