What is a key manifestation of hemophilia A that the nurse should teach the client?

A key manifestation of hemophilia A that the nurse should teach the client is disabling joint pain. Hemophilia A is characterized by a deficiency of factor VIII, which is crucial for blood clotting. This can lead to bleeding episodes, particularly in the joints, resulting in hemarthrosis. Repeated bleeding into the joints can cause inflammation, pain, and ultimately lead to chronic joint damage and disability.

Educating the patient about the potential for joint bleeding helps them recognize the importance of managing their condition, including the need for appropriate factor replacement therapy, and understanding the signs of bleeding that require medical attention. This understanding is critical for preventing complications associated with untreated joint bleeds.

While other manifestations such as bruising or bleeding may occur, the presence of disabling joint pain is a significant and specific indication of ongoing complications from hemophilia that the patient needs to manage actively.