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    Ati Med Surg 2 Proctored Exam (Anderson)

    A nurse is reinforcing teaching about controlling a bleeding episode with a parent of a child who has hemophilia. Which of the following statements by the parent indicates a need for further teaching?

    Explanation & Rationale

    A. "I will apply warm compresses over the site." is correct as the statement that indicates a need for further teaching because applying heat to an acute bleeding site can actually increase blood flow and worsen bleeding. Instead, cold compresses should be applied initially to constrict blood vessels and slow bleeding. Warmth may be appropriate later for comfort or to relax muscles once the bleeding has been controlled. B. "I will monitor the bleeding" is incorrect as a need for further teaching because careful monitoring is essential in a child with hemophilia to assess the severity of the bleed and determine if additional interventions or factor replacement is necessary. C. "I will elevate the affected area if possible." is incorrect as a need for further teaching because elevating the affected limb above heart level helps reduce blood flow to the site, minimizing bleeding and swelling. D. "I will apply pressure to the site." is incorrect as a need for further teaching because direct pressure is a primary and effective intervention to control bleeding in hemophilia. It helps mechanically stop blood flow while preparing for additional interventions such as factor replacement.

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