The nurse is teaching parents of a newborn recently diagnosed with sickle cell anaemia. Which interventions will the nurse include in the education? Select all that apply.

Seek medical attention if the newborn has a fever.

Watch out for yellowing of the skin or eyes.

Adhere to the recommended vaccine schedule.

Administer factor VIII replacement as indicated.

Provide oral penicillin V potassium to prevent infection.

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason: Seeking medical attention if the newborn has a fever is crucial for children with sickle cell anaemia. Fever can be an early sign of infection, and children with sickle cell anaemia are at a higher risk for infections. Prompt medical evaluation and treatment are necessary to prevent severe complications.

Choice B reason: Watching out for yellowing of the skin or eyes (jaundice) is important because it can indicate homolysis, a common issue in sickle cell anaemia where red blood cells break down rapidly. Identifying jaundice early allows for timely medical intervention to address underlying causes and prevent further complications.

Choice C reason: Adhering to the recommended vaccine schedule is essential for protecting children with sickle cell anaemia from preventable infections. Their immune systems are often compromised, making them more susceptible to infections that vaccines can help prevent.

Choice D reason: Administering factor VIII replacement is not relevant to sickle cell anaemia. Factor VIII replacement is a treatment for haemophilia, a different blood disorder. This intervention is not applicable in the context of sickle cell anaemia education.

Choice E reason: Providing oral penicillin V potassium to prevent infection is a standard recommendation for children with sickle cell anaemia. Daily prophylactic penicillin helps reduce the risk of serious infections, particularly from Streptococcus pneumoniae, which can be life-threatening in these patients.

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Correct Answer is B

Explanation

Choice A reason: A colouring book may not be the best choice for a 12-month-old as it requires fine motor skills that are still developing at this age. Additionally, crayons can pose a choking hazard.

Choice B reason: Large building blocks are appropriate for a 12-month-old toddler. They promote gross motor skills, hand-eye coordination, and cognitive development. These blocks are easy to grasp and safe for young children.

Choice C reason: Hanging crib toys are more suitable for younger infants who are not yet mobile. A 12-month-old is likely more interested in interactive and manipulative toys that they can hold and manipulate.

Choice D reason: Modelling clay is not recommended for a 12-month-old due to the potential choking hazard and the fact that the child may try to put it in their mouth.

A. The nurse develops a plan of care with the child and family. B. The nurse provides future-based care for culturally diverse children. C. The nurse treats all children the same regardless of their culture. D. The nurse assesses the child's culture and provides care based on the findings.

Correct Answer is D

Explanation

Choice A reason: Developing a plan of care with the child and family is important, but it does not explicitly address the need for cultural competence. This approach is cantered around collaboration rather than cultural sensitivity.

Choice B reason: Providing future-based care for culturally diverse children is vague and does not directly indicate an understanding or application of cultural competence in the current care situation.

Choice C reason: Treating all children the same regardless of their culture is contrary to the principles of culturally competent care. Culturally competent care involves recognizing and respecting the cultural differences that impact the child's health and tailoring the care to meet those unique needs.

Choice D reason: Assessing the child's culture and providing care based on the findings demonstrates an understanding and application of culturally competent care. This approach ensures that the care is respectful of and responsive to the cultural needs of the child and family.

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The nurse is teaching parents of a newborn recently diagnosed with sickle cell anaemia. Which interventions will the nurse include in the education? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 12-month-old toddler who is hospitalized and on contact precautions. Which toys should the nurse recommend to meet the developmental needs of the patient?

Correct Answer is B

Explanation

The paediatric nurse is teaching the student nurse about culturally competent care. Which action will the student nurse identify as consistent with this type of care?

Correct Answer is D

Explanation

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