Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?
Prepare for seizures.
Expect the skin to turn yellow.
Encourage progressive activity.
Prevent dehydration
The Correct Answer is D
A. Seizures are not a typical complication of polycythemia, though they may occur if the condition progresses to severe levels of blood viscosity.
B. Yellowing of the skin (jaundice) is not associated with polycythemia but with liver conditions.
C. While activity is important, preventing dehydration is more critical in managing polycythemia because dehydration increases blood viscosity, exacerbating the condition.
D. Preventing dehydration is essential as it helps maintain adequate blood flow and reduces the risk of thrombotic events in a child with polycythemia.
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Related Questions
Correct Answer is C
Explanation
A. Turning the head to the side is not recommended, as it can cause blood to drain into the throat.
B. Applying pressure to the forehead does not help control nasal bleeding.
C. Sitting upright and applying pressure to the sides of the nose is the correct action to stop the bleeding and prevent blood from going down the throat.
D. Keeping the child flat can increase the risk of blood entering the airway, which can lead to aspiration.
Correct Answer is B
Explanation
A. Promoting maternal-infant bonding is important but is secondary to addressing immediate physical concerns.
B. Maintaining the integrity of the sac is the priority in managing myelomeningocele. The sac should be protected from rupture or infection to prevent damage to the spinal cord and nerves.
C. Providing age-appropriate stimulation is important for development but is not as urgent as protecting the physical integrity of the sac.
D. Educating the parents about the defect is crucial for long-term care but does not take precedence over immediate physical needs.
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