A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?
Explanation & Rationale
A. Resting the affected area is essential because it prevents further trauma to the injured site, which is particularly important in hemophilia since even minor injuries can lead to prolonged bleeding. Reducing movement helps the clotting process and minimizes additional stress on the injured tissue. B. Elevation above heart level helps decrease blood flow to the injured area, which reduces both swelling and bleeding. This is a critical intervention for children with hemophilia, as excess blood loss can lead to complications such as hematomas and joint damage. C. Direct pressure on the bleeding site helps mechanically control bleeding by promoting clot formation. In hemophilia, this is one of the first and most effective interventions for minor bleeding episodes, especially for superficial cuts or bruises. D. Applying heat is contraindicated in hemophilia because heat causes vasodilation, which increases blood flow to the area and can exacerbate bleeding. Instead, cold therapy, such as ice packs, is recommended to constrict blood vessels, slow the bleeding, and reduce swelling and pain.