What should a nurse assess for when caring for an adolescent with hemophilia?

When caring for an adolescent with hemophilia, assessing joint mobility is crucial due to the nature of the condition, which involves a deficiency in the clotting factors necessary for proper blood coagulation. Individuals with hemophilia are prone to internal bleeding, especially in the joints, which can lead to hemarthrosis—bleeding within the joint space. This bleeding can result in pain, swelling, stiffness, and decreased mobility over time. Therefore, evaluating joint mobility helps assess the extent of any joint damage or functional impairment, allowing for timely interventions to minimize complications such as chronic pain or arthritis. Regular assessment of joint mobility ensures that any changes are monitored and managed effectively to maintain the adolescent's quality of life and physical function.