A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?
Explanation & Rationale
Choice A reason: Hemophilia A is a deficiency of clotting factor VIII. Recombinant factor VIII is the treatment of choice to prevent bleeding during surgical procedures. It is administered prophylactically to ensure adequate clotting ability. Choice B reason: Prophylactic antibiotics may be used to prevent infection but are not specific to hemophilia management. They do not address the bleeding risk associated with factor VIII deficiency. Choice C reason: Packed RBCs are used to treat anemia or blood loss but are not preventive. They do not provide clotting factors and are not appropriate for prophylaxis in hemophilia. Choice D reason: Fresh frozen plasma contains clotting factors but is less specific and carries a higher risk of transfusion reactions compared to recombinant factor VIII. It is not the preferred prophylactic treatment.