Uworld PEDIATRIC.

Uworld PEDIATRIC/Uworld PEDIATRIC. The nurse planning teaching for the parents of a child newly diagnosed with hemophilia will include information about which long-term complication? Heart valve injury [33%] Intellectual disability [3%] Joint destruction [54%] Recurrent pneumonia [8%] Explanation: Hemophilia is a bleeding disorder caused by a deficiency in coagulation proteins. Clients with classic hemophilia, or hemophilia A, lack factor VIII. Clients with hemophilia B (Christmas disease) lack factor IX. When injured, clients with hemophilia should be monitored closely for external as well as internal bleeding. The most frequent sites of bleeding are the joints (80%), especially the knee. Hemarthrosis can occur with minimal or no trauma, with episodes beginning during toddlerhood when the child is active and ambulatory. Over time, chronic swelling and deformity can occur.