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 A
Explanation
A. Placing the child in an upright position helps keep the airway open and can ease breathing difficulties associated with epiglottitis.
B. Obtaining a throat culture can be dangerous in suspected epiglottitis due to the risk of airway obstruction; management should focus on stabilization.
C. Transporting the child to radiology may further compromise the airway and should be avoided unless absolutely necessary.
D. Visualizing the epiglottis with a tongue depressor can trigger airway obstruction and should be avoided in suspected epiglottitis.
Correct Answer is A
Explanation
A. Toddlers are beginning to cooperate in simple chores and tasks, which aligns with their developmental stage.
B. Toddlers often struggle with separation anxiety and do not separate easily from their caregivers.
C. Understanding the difference between right and wrong is a skill that develops later, typically around age 4 or older.
D. Printing letters and numbers is beyond the developmental capabilities of a toddler and is expected later in early childhood.
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