The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching?
Remind parents that the child should avoid immunizations to prevent the introduction of bacteria into the body.
Suggest the child participate in sports activities without restriction.
Treat upper respiratory infections with over-the-counter medication.
Ensure a consistent and daily intake of adequate fluids to prevent dehydration.
The Correct Answer is D
A. Children with sickle cell anemia should receive all recommended immunizations to protect against infections, which can trigger a sickle cell crisis.
B. Participating in sports should be done with caution, and activities that lead to dehydration or overexertion should be avoided.
C. Over-the-counter medications should be used cautiously and under the guidance of a healthcare provider, as some medications may not be suitable for children with sickle cell anemia.
D. Ensuring adequate hydration is crucial for preventing sickle cell crises. Dehydration can increase blood viscosity, leading to sickling of the red blood cells and subsequent pain and complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The pneumococcal polysaccharide vaccine is typically administered to older adults or individuals with certain chronic conditions, not routinely to adolescents.
B. The influenza vaccine is important and should be administered annually but is not specific to pre-college preparation.
C. The meningococcal polysaccharide vaccine is recommended for adolescents, especially those preparing to enter college, as it protects against meningococcal disease, which can spread quickly in communal living settings.
D. The Bacille Calmette-Guérin (BCG) vaccine is used in areas with high tuberculosis incidence and is not a standard immunization for adolescents in the United States.
Correct Answer is D
Explanation
A. The conjunctivae can show signs of cyanosis but is not the most reliable indicator of central cyanosis.
B. Ear lobes may show peripheral cyanosis but are not reliable for central cyanosis.
C. The soles of the feet are not typically assessed for cyanosis in this context.
D. The oral mucosa is the most reliable indicator of central cyanosis, as it reflects the oxygenation status of the blood more accurately.
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