A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?

I will keep a written document of the treatment plan

I will notify my provider on the next business day if my child has a sore throat

I will use acetominophen if my child needs an analgesic for pain

I will keep a written list of all my child's medical appointments

Answer and Explanation

The Correct Answer is B

A. Keeping a written document of the treatment plan is essential for ensuring continuity of care and effective communication with healthcare providers.

B. Parents should notify their provider immediately, rather than waiting for the next business day, if their child has a sore throat, as this could indicate a possible infection in an immunocompromised child.

C. Using acetaminophen is generally appropriate for managing pain or fever in children receiving chemotherapy, but it should be done with caution regarding dosage and timing.

D. Maintaining a written list of medical appointments helps keep track of the child’s care and is a good practice for managing their health.

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Correct Answer is D

Explanation

A. Constipation can occur but is not a direct symptom of sickle cell crisis; it’s more related to hydration and diet.

B. High fever may occur due to infection, but it is not a guaranteed finding in every sickle cell crisis.

C. Bradycardia is not typically associated with sickle cell crisis; tachycardia is more common due to pain and stress.

D. Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.

A. "I will wash my hands frequently.” B. "Being out in cold weather can cause me to have a sickle cell crisis" C. "I will restrict my fluids it during illness" D. "I will need to carry a water bottle with me for after school sports." E. "I have to be very careful to take my medications as directed."

Correct Answer is ["A","B","D","E"]

Explanation

A. Washing hands frequently is important for preventing infections, which can trigger a sickle cell crisis.

B. Cold weather can cause blood vessels to constrict, increasing the risk of a sickle cell crisis, making this statement correct.

C. Restricting fluids during illness is not advisable; staying hydrated is crucial for preventing sickle cell crises.

D. Carrying a water bottle encourages adequate hydration, which is essential for individuals with sickle cell anemia to help prevent crises.

E. Taking medications as directed is vital for managing sickle cell disease and preventing complications.

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A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

The nurses reviewing triggers of sickle cell crisis with a 14-year-old male client with sickle cell anemia. Which statement by the client indicates an understanding of the teaching? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

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