The nurse is meeting a 5-year-old child for the first time and would like the child to cooperate during a dressing change.
The nurse decides to do a simple magic trick using gauze. This should be interpreted as:

The child’s care should include adequate hydration and pain management. The management of an acute event of a vaso-occlusive crisis is the use of potent analgesics (opioids), rehydration with normal saline or Ringer’s lactate, treatment of malaria (whether symptomatic or not) using artemisinin combination therapy, and the use of oxygen via face mask, especially for acute chest syndrome.

Choice A is wrong because correction of acidosis is not a specific intervention for the vaso- occlusive crisis.

Acidosis may occur as a complication of sickle cell disease, but it is not the primary cause of the crisis.

Choice D is wrong because the administration of heparin is not recommended for the vaso-occlusive crisis.

Heparin is an anticoagulant that may increase the risk of bleeding and does not prevent or treat the sickling process.

Normal ranges for hemoglobin are 11.5 to 15.5 g/dl for children after 2 years of age.

Normal ranges for reticulocyte count are 0.5% to 1.5% for adults and 0.5% to 2.5% for children.

This is because self-monitoring of blood glucose allows children to learn how their blood sugar levels change in response to different factors such as food, exercise, stress, and medication.

It also helps them to adjust their insulin doses and dietary intake accordingly. Self-monitoring of blood glucose can improve glycemic control and reduce the risk of complications.

Choice A is wrong because it is not a less expensive method of testing.

Self-monitoring of blood glucose requires a glucose meter, test strips, lancets, and a logbook, which can be costly for some families.

Choice B is wrong because it is not less accurate than laboratory testing.

Self-monitoring of blood glucose can provide accurate and reliable results if done correctly and regularly.

Laboratory testing is usually done periodically to measure the average blood sugar level over the past 2 to 3 months (hemoglobin A1c).

Choice D is wrong because it implies that the parents are not involved in the child’s diabetes management.

Parents should still provide support and guidance to their children with diabetes, especially when they are young or newly diagnosed. Parents should also monitor their child’s blood glucose levels and help them with insulin administration if needed.