ATI Custom Pediatrics Comprehensive Exam | Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Pressure on the site and administration of the required clotting factor. This is the priority intervention for a hemophilic child who has fallen and badly bruised his leg because hemophilia is a bleeding disorder where the blood does not clot properly. Applying pressure on the site helps control bleeding, and administering the required clotting factor helps replace the missing clotting factor in the child's blood, aiding in clot formation and preventing further bleeding.

Choice A is incorrect because aspirin can worsen bleeding in hemophiliacs.

Choice B is incorrect because immobilization alone does not address the bleeding issue in hemophilia, and ibuprofen can also increase bleeding risk.

Choice C is incorrect because a heating pad can increase blood flow and worsen bleeding, and factor VIII concentrate is the appropriate clotting factor for hemophilia A, not a heating pad.

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