What is the primary nursing intervention for a child with hemophilia who has fallen and has an acutely bruised leg?

The primary nursing intervention for a child with hemophilia who has fallen and has an acutely bruised leg focuses on managing the bleeding and ensuring proper clotting. The child has a deficiency in clotting factors, which means that immediate actions must be taken to control bleeding and minimize complications.

Applying pressure on the site is crucial to help control any bleeding that may be occurring due to the injury. This physical intervention directly addresses any hemorrhage that might have resulted from the fall. Moreover, administering the required clotting factor is essential because it aids in the body's ability to form a clot effectively. For a child with hemophilia, replacing the missing clotting factor is an integral part of managing injuries to prevent excessive bleeding.

The other options, while they may seem beneficial in certain contexts, do not align with the immediate needs of a child with hemophilia who has sustained an injury. Aspirin and ibuprofen can increase bleeding risk, and applying a heating pad may exacerbate swelling or bleeding. Moreover, factor VIII concentrate is a specific treatment for hemophilia, but the immediate need to apply pressure on the wound takes precedence in this urgent situation. Overall, the focus must be on managing the bleeding and providing appropriate clotting factors to support the child