A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan?

Choice A Reason:

"Encourage your partner to eat three large meals each day." In end-of-life care, the focus shifts from large meals to providing comfort and meeting the patient's nutritional needs, which might not involve large meals due to potential decreased appetite or difficulty swallowing.

Choice B Reason:

"We will use an electric blanket to keep your partner warm. “While keeping the patient warm is essential, the use of an electric blanket might not always be appropriate due to the risk of burns or changes in sensation that can occur in some conditions.

Choice C Reason:

"Opioids will be restricted if your partner develops respiratory distress. “This statement might not convey the full context of pain and symptom management in end-of-life care. Opioids are often used judiciously to manage distressing symptoms, including pain and respiratory distress, under careful monitoring rather than being strictly restricted.

Choice D Reason:

"Assume your partner can hear you, even if they do not respond." This statement emphasizes the importance of communication and connection with the partner who may be unresponsive. Research suggests that hearing may persist even when a person is unable to respond, so speaking to the person respectfully and with care can provide comfort and support during this time.

Choice A Reason:

"I should dress my child in loose-weave clothing." While wearing clothing that covers the skin is important, loose-weave clothing might not offer adequate protection from UV rays. Tighter weaves and darker colors typically provide better protection.

Choice B Reason:

"I should apply a 10 SPF sunscreen to my child's entire body." SPF 10 sunscreen might not offer sufficient protection, especially for toddlers who are more sensitive to the sun. Sunscreens with a higher SPF (ideally SPF 30 or higher) are recommended for better protection.

Choice C Reason:

"My child should wear a wide-brimmed hat." Wearing a wide-brimmed hat helps protect a toddler's face, neck, and ears from the sun's harmful rays, contributing to sun safety.

Choice D Reason:

"My child should remain under a beach umbrella during morning hours. “While seeking shade under an umbrella is a good practice, it might not offer complete protection, especially during peak sun hours. Additionally, the specific time mentioned (morning hours) doesn't guarantee complete protection from UV exposure.