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    Ati rn pediatric nursing 2023 proctored exam

    A nurse is providing teaching about participating in sports to a 12-year-old child who has hemophilia. Which of the following sports should the nurse recommend?

    Explanation & Rationale

    The nurse must assess the safety of sports activities for a child with hemophilia, a genetic bleeding disorder. Knowledge of injury prevention and the impact of physical impact on vascular integrity is required to select a low-contact sport that minimizes hemorrhage. Choice A rationale Basketball involves high-speed running, jumping, and physical contact with other players. These factors significantly increase the risk of collisions and falls, which can lead to joint bleeds or hemarthrosis in children with hemophilia. Choice B rationale Soccer is considered a high-impact sport that involves frequent contact and risk of trauma to the lower extremities. Such physical stress on the joints and soft tissues can trigger internal bleeding episodes for hemophiliac clients. Choice C rationale Bowling is a non-contact, low-impact activity that minimizes the risk of physical trauma and significant injury. It allows for physical activity without the high risk of joint hemorrhage or bruising common in more aggressive sports. Choice D rationale Gymnastics places immense stress on the joints and carries a high risk of falls from equipment. For a child with hemophilia, these maneuvers could result in severe muscle or joint bleeding due to the physical strain.

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