A 16-year-old male presents to the emergency department with…
A 16-year-old male presents to the emergency department with increasing right knee swelling and pain after minor trauma during basketball. He has a history of Christmas disease. Assessment findings: Temperature: 99.1°F (37.3°C) Heart rate: 118 bpm Blood pressure: 92/58 mmHg Respiratory rate: 22/min SpO₂: 98% on room air Right knee: tense swelling, warmth, decreased range of motion, severe pain with passive movement Ecchymoses noted on bilateral forearms Hemoglobin: 9.2 g/dL (previous baseline 13.5 g/dL) aPTT: prolonged PT/INR: normal The nurse is developing a plan of care. For each nursing action, indicate whether the action is Expected or Not Expected for this client.