A nurse is caring for a client on a pediatric unit. The client is a 7-year-old male who is admitted with excessive bruising and complaints of joint pain. The nursing team is monitoring his symptoms closely due to his history of bleeding episodes. The client exhibits multiple bruises on legs and arms. Reports pain during movement, especially in the knees. No signs of active bleeding observed, but requires further evaluation. Joint pain reported at 6 out of 10. Client's gait is slightly altered, walking with a limp on the left side. Vital signs are within normal limits. A nurse is caring for a 7-year-old child with hemophilia who presents with excessive bruising and joint pain. Based on this scenario, identify the anticipated nursing actions for the child's care. Select all that apply.

Rationale: A. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can inhibit platelet function and increase bleeding risk. In children with hemophilia, NSAIDs should be avoided for pain management. Acetaminophen is preferred for mild to moderate pain. B. Monitoring vital signs helps detect early signs of internal bleeding, such as tachycardia or hypotension. Observing the progression of bruising and joint swelling is essential to assess bleeding severity and prevent complications like hemarthrosis or joint damage. C. Children with hemophilia are at high risk for bleeding with trauma or falls. Activity should be encouraged with appropriate protective gear, supervision, and avoidance of high-impact sports to prevent injuries. D. Administration of the specific clotting factor (Factor VIII or IX, depending on type) is the primary treatment for preventing or controlling bleeding episodes in hemophilia. Early replacement can reduce joint damage and manage pain associated with hemarthrosis.