Question

6. The nurse has been asked to prepare a lecture on the similarities and the differences between hemophilia and von Willebrand disease. a. What should be included? 7. A 31-year-old woman has not received any prenatal care. She is single, is unemployed of low socioeconomic status, and has a seventh grade education. At 40 weeks' gestation, the client gives birth to a 5 pound, 2 oz female neonate, her second child. After birth, the nurse notes that the neonate is very jaundiced, has an enlarged, edematous abdomen, and is having difficulty breathing a. Discuss why the nurse would immediately bring the neonate to the neonatal intensive care unit. b. A student nurse who is assigned to the client and her neonate states, "If she only had cared for herself and the baby while she was pregnant." What elements of health promotion strategies for the client's situation would the nurse include in her explanation to the student? 8. A 44-year-old female client who has rheumatoid arthritis (RA) has reported menorrhagia for the past 6 months. She states that she is tired, feels weak, has heart palpitations and periodic dizziness, and has difficulty concentrating at work, and people are always asking her why she looks so pale all the time. The client is here for her blood work results. What would the nurse expect to find and why? b. Discuss with the client the importance of monitoring blood work regularly. 9. A 54-year-old man has just had a course of antimetabolites and radiation for pancreatic cancer. This morning he had a severe nosebleed and his neutrophil count is very low. His wife accompanies him to the clinic today. a. How will the nurse explain the client's current symptoms? b. What would be some realistic treatment options to discuss at this time?

Answer 1

Ans 6:

Hemophilia is a hereditary blood disorder, in this condition blood clot formation is reduced due to the deficiency of clotting factors (most often clotting factor VIII) this leads to severe bleeding on minor injuries.

The Von Willebrand disease is a hereditary blood disorder, in this condition blood clot formation is reduced due to the absence or deficiency of von Willebrand factor (VWF) that binds to factor VIII this leads to severe bleeding on minor injuries.

For the lecture,

The nurse should include

The information about coagulation process its benefits

The information about different clotting factors and their site of synthesis

The similarities and differences between hemophilia and Von Willebrand disease with respect to

absence or deficiency of involved clotting factors, etiology, signs, and symptoms, pathophysiology, diagnosis, complications, precautions, nursing care, and management.