A nurse is reinforcing teaching with the parents of a child who has hemophilia about the care of an injury that causes bleeding. Which of the following instructions should the nurse include in the teaching?
Explanation & Rationale
A. Position the injured extremity below the level of the heart is incorrect. When managing bleeding in hemophilia, the injured area should be elevated to reduce blood flow to the site, which can help minimize bleeding. B. Apply an ice pack to the injury is correct. Applying ice can help constrict blood vessels and reduce swelling, which is important in controlling bleeding. Cold therapy is commonly used for hemophilia-related injuries to limit blood loss and decrease inflammation. C. Perform passive range of motion to the affected area is incorrect. Passive range of motion should be avoided in the acute phase of injury because it can increase the risk of further injury or bleeding. Resting the injured limb and preventing movement is typically recommended. D. Administer ibuprofen is incorrect. Ibuprofen is an NSAID that can interfere with blood clotting and increase the risk of bleeding, which is contraindicated in children with hemophilia. Acetaminophen is typically recommended for pain management in these cases.