Exam 54: Drugs for Hemophilia

A child with moderate hemophilia A who weighs 20 kg is admitted to the hospital after a knee injury with bleeding into the joint. The nurse will expect the provider to order which medication?

A child with hemophilia A who weighs 30 kg receives factor VIII on an ongoing basis as prophylaxis. The provider orders desmopressin [Stimate] to be used for nosebleeds. The nurse will instruct the child's parents to give the medication as ____ nostril as needed.

A child with severe hemophilia A receives factor VIII. The nurse expects this drug to be given:

A patient with hemophilia A is undergoing a tooth extraction at the dentist's office. As an adjunct to factor VIII,what other drug should the nurse anticipate being ordered for this patient?

A patient with epistaxis and a history of hemophilia A is admitted to the unit and is scheduled for replacement therapy. The nurse should prepare to administer which medication?

A patient who is receiving a factor VIII concentrate to treat hemophilia A develops hives,a low-grade temperature elevation,and a stuffy nose. The nurse will prepare to:

The nurse is conducting a nursing education class on hemophilia. The nurse correctly states that which characteristics are most likely to be seen in a patient with hemophilia? (Select all that apply.)

A nurse is caring for a child who has hemophilia. While reviewing this child's immunization records,the nurse notes that the child needs the tetanus and reduced diphtheria toxoids and acellular pertussis (Tdap)vaccine and the hepatitis A vaccine. The nurse should notify the provider and obtain an order to give:

A nurse is caring for an African American patient with severe hemophilia A who has been admitted for bleeding into the knee joint. The prescriber has ordered intravenous factor VIIa [NovoSeven RT]. A nursing student wants to know why this patient is not receiving factor VIII. Which statement by the nurse is correct?

A patient with hemophilia is hospitalized for infusion of factor VIII replacement through a venous port. While giving the drug,the nurse notes that the patient's temperature is 101.5°F. The nurse will contact the provider to report which possibility?

A patient with hemophilia B is admitted to the hospital for surgery. The patient's history reveals long-term use of factor replacement as prophylaxis for bleeding episodes. The nurse anticipates that the provider will order which medication to prevent excessive perioperative bleeding?

The parents of a boy with hemophilia A want to know why their son will receive factor replacement on an ongoing basis rather than when needed for bleeding episodes. They tell the nurse that the boy's grandfather,who had the same disease,received the drug only when he had bleeding. The nurse will give the parents which information about ongoing therapy?