A 9-year-old with sickle cell anemia wants to participate in school activities but their parent is afraid. What school activity could the nurse suggest for the child with sickle cell anemia?
Ice Hockey
Tackle American Football
Art Club
Basketball
The Correct Answer is C
A. Ice Hockey: Cold temperatures and physical exertion can trigger a sickle cell crisis by causing vasoconstriction and hypoxia.
B. Tackle American Football: High-impact, strenuous activities increase oxygen demand, putting the child at risk for a crisis.
C. Art Club: A non-strenuous activity that avoids physical strain, dehydration, or extreme temperatures, making it safe for children with sickle cell anemia.
D. Basketball: While it’s not as physically demanding as some sports, it still involves moderate to intense exertion, which could precipitate a crisis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Provide humidified oxygen: This helps ease breathing and reduce airway irritation.
B. Allow the child to have a popsicle: Oral intake is contraindicated to prevent aspiration.
C. Obtain a throat culture: Invasive procedures like this can provoke airway spasm and are contraindicated.
D. Visualize the epiglottis using a tongue depressor: Direct visualization is avoided due to the risk of airway spasm and obstruction.
Correct Answer is D
Explanation
A. Implement a fluid restriction during times of infection: This is not a recommended practice for cystic fibrosis. In fact, cystic fibrosis patients often need increased fluid intake, especially during infection, to help thin mucus secretions and stay hydrated.
B. Provide a low-calorie, low-protein diet: This is incorrect. Children with cystic fibrosis typically have a high-calorie, high-protein diet to support growth and energy expenditure, as they have trouble absorbing nutrients.
C. Restrict physical activities: This is not correct. Children with cystic fibrosis should engage in physical activity to help with lung function and overall health. Physical activity should not be restricted unless there are specific complications.
D. Administer pancreatic enzymes with meals and snacks: This is correct. Children with cystic fibrosis often have pancreatic insufficiency and need to take pancreatic enzymes with meals and snacks to help digest food and absorb nutrients.
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