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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administering intravenous antibiotics is crucial for treating bacterial meningitis, but isolation is the priority to prevent the spread of infection.
B. Preparing for a lumbar puncture is important for diagnosis, but ensuring the child is isolated to prevent transmission is the immediate concern.
C. Obtaining blood cultures is important for identifying the causative organism but does not take precedence over isolation.
D. Placing the child in isolation is the priority to prevent the spread of bacterial meningitis, which is highly contagious.
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.
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