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.
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Related Questions
Correct Answer is C
Explanation
A. By 15 months, a toddler typically can build a tower of two to three cubes; a tower of six to seven cubes is expected closer to 24 months.
B. Jumping with both feet is generally expected closer to age 2-3 years.
C. By 15 months, a toddler should be able to stand upright without support. Failure to do so could indicate a delay in motor development.
D. Turning a doorknob is a skill that develops later, around age 2-3 years.
Correct Answer is C
Explanation
A. Standard precautions are not sufficient for preventing the spread of mumps, which requires additional measures.
B. Contact precautions are used for infections spread through direct or indirect contact, but mumps requires different precautions.
C. Mumps is spread via respiratory droplets, so droplet precautions are necessary to prevent transmission.
D. Airborne precautions are not required for mumps, as it is not transmitted via airborne routes.
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