Question

a nurse is caring for a client who is about to begin factor viii therapy to treat hemophilia a. when administering factor viii, which of the following actions should the nurse take?

• administer the powdered form orally
• premedicate with aspirin
• administer it via rapid iv bolus.
• have emergency equipment ready.

Explanation:

To determine the correct action for administering factor VIII (for hemophilia A):

• Factor VIII is a protein that must be administered intravenously (not orally, so "Administer the powdered form orally" is incorrect).
• Aspirin is an antiplatelet/anticoagulant and would increase bleeding risk (so "Premedicate with aspirin" is incorrect).
• Rapid IV bolus can cause adverse reactions; it should be infused slowly (so "Administer it via rapid IV bolus" is incorrect).
• Factor VIII therapy has a risk of allergic/anaphylactic reactions, so having emergency equipment (e.g., for resuscitation) ready is essential.

Answer:

D. Have emergency equipment ready.