A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (Select all that apply.)

Choice A Reason:

Have the child wear a surgical mask to school. Wearing a surgical mask to school is not a standard practice for managing sickle cell disease unless recommended during times of illness or in situations where the child is at risk of exposure to infections that could potentially trigger a sickle cell crisis.

Choice B Reason:

Limit fluids at bedtime. Adequate hydration is essential for individuals with sickle cell disease to prevent dehydration, which can trigger sickle cell crises. Limiting fluids at bedtime might not be advised; instead, encourage adequate hydration throughout the day.

Choice C Reason:

Apply cold compresses to painful areas. Cold compresses may provide temporary relief for some pain associated with sickle cell disease, but warm compresses or warm baths are generally more helpful in easing pain related to sickle cell crises.

Choice D Reason:

Encourage physical activity as tolerated. Regular physical activity, as tolerated by the child, is beneficial in managing sickle cell disease. It helps improve blood flow, reduce the risk of complications, and maintain overall health. However, it's crucial to encourage activity while considering the child's individual limitations and avoiding excessive strain or exhaustion.

Choice AReason:

Exposure to secondhand smoke is incorrect. While exposure to secondhand smoke isn't healthy for anyone, it might not be a primary trigger for seizures in most cases. However, for some individuals, exposure to certain environmental toxins or irritants might exacerbate their condition, though this varies from person to person.

Choice BReason:

Decreased temperature is incorrect. While extreme temperatures (both hot and cold) can potentially trigger seizures in some individuals, decreased temperature alone might not be a common trigger compared to other factors.

Choice C Reason:

Lack of sleep is correct. Sleep deprivation can be a significant trigger for seizures in people with epilepsy or seizure disorders. Maintaining a regular sleep schedule and ensuring adequate sleep is an important aspect of managing seizures in these individuals.

Choice D Reason:

Prolonged headache is incorrect. Headaches can sometimes be a warning sign or an aura before a seizure for some individuals, but having a headache alone might not directly trigger a seizure for most people with a seizure disorder. However, there can be a relationship between headaches and certain types of seizures in specific cases.