Capstone Nursing Care of Children Practice Exam

In the context of managing a 4-year-old with hemophilia and acute hemarthrosis, the intervention of placing ice packs on the affected joints is appropriate because it helps in reducing swelling and alleviating pain. Hemarthrosis, which is bleeding into the joints, can cause significant discomfort and inflammation. The application of ice provides a form of cryotherapy that constricts blood vessels, thereby minimizing blood flow to the area and reducing edema. Additionally, the cooling effect can help relieve pain and discomfort for the child.

Using ice packs as a treatment aligns with the goal of managing acute episodes of bleeding while promoting comfort and care. It is essential to ensure that the ice packs are used properly, making sure they are not applied directly to the skin to avoid frostbite, and applying them for intermittent periods.

Regarding the other interventions: acetaminophen may help with pain relief but does not address the immediate issue of swelling or reduce the risk of further bleeding. Encouraging high-impact activities is contraindicated in a child with hemophilia, as such activities could result in further joint trauma and bleeding. Administering vitamin K supplements would not be effective in this case, as hemophilia is not caused by a deficiency of vitamin K, but rather by a