CMSRN Medical-Surgical Nursing

Answer - D - Although many children with hemophilia do take antihemophilic factor on a regular basis to prevent bleeding episodes, the factor (which has a short half-life) should be taken in the morning so that factor levels can be highest when the child is most active and prone to injury. Children with hemophilia are taught to avoid taking aspirin or aspirin related/containing products due to the natural anticoagulation properties of this medication (Choice A). Acetaminophen/Tylenol (Choice B) is ideal for mild to moderate pain. This medication does not interfere with coagulation. Children with hemophilia are restricted from regular physical education classes, which may involve contact sports that could cause injury and precipitate a bleeding episode (Choice C). Adaptive physical education classes feature non-contact sports such as swimming and golf.