A 6-month-old patient with a plaster spica cast is being breastfed by her mother. Which action by the mother should the nurse question?

Choice A rationale:

While addressing the client's food preferences is important for their overall care, pain management takes priority during a vaso-occlusive sickle cell crisis to alleviate suffering and prevent complications.

Choice B rationale:

Assessing the client's knowledge about the illness is significant for education, but pain relief should precede this assessment to promptly address their distress.

Choice C rationale:

Obtaining a urine specimen is a relevant diagnostic step, but pain management should be initiated before further assessments or interventions.

Choice D rationale:

Administering pain relief medication is the immediate nursing priority. Sickle cell crises are excruciating, and timely pain management helps alleviate suffering and improve the client's well-being.

Choice A rationale:

Avoid setting limits or establishing disciplinary guidelines is not appropriate. Children with cognitive impairment require structure and consistent boundaries to ensure their safety and development.

Choice B rationale:

Encouraging the child to socialize with same-aged children is important for their social and emotional development. Interaction with peers fosters communication skills and helps them integrate into society.

Choice C rationale:

Avoid discussing sexuality until the child is an adult may lead to misinformation and confusion. Addressing sexuality in an age-appropriate manner is vital to help the child develop a healthy understanding of their body and relationships.

Choice D rationale:

Encouraging delaying the child's entry into educational programs hinders their cognitive and intellectual growth. Early intervention and tailored educational programs are crucial for children with cognitive impairment to reach their full potential.