A nurse is planning care for an adolescent who has sickle cell anemia which of the following immunizations should the nurse include in the plan?

A. Placing the child in a protected environment for 48 hours is not a necessary measure for managing pertussis. Pertussis is transmitted through respiratory droplets, and standard precautions are typically sufficient.

B. Administering the pertussis vaccine is a preventive measure, but it is not a treatment for an active infection. In this case, the child already has pertussis, so administering the vaccine will not address the current illness.

C. Restricting oral fluids to 500 mL per day is not a recommended intervention for pertussis. Maintaining hydration is important, and fluid intake should be based on the child's needs.

D. This is the correct action. Reporting the diagnosis of pertussis to the public health department is a crucial step in preventing the spread of the disease. It allows for contact tracing and appropriate public health measures to be implemented to limit further
transmission.

A. "Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle." This instruction is not related to safety. Proper seat height is important for comfort and efficiency but does not directly impact safety.

B. This is the correct instruction. Maintaining a distance of at least 3 feet from the curb while riding in the street allows space for maneuvering and helps prevent collisions with obstacles or parked cars.

C. "Your child should walk the bicycle through intersections." This is a good safety practice. Walking the bicycle through intersections reduces the risk of accidents with other vehicles.

D. "Your child should ride the bicycle against the flow of traffic." This is incorrect.
Children should ride their bicycles in the same direction as traffic. Riding against traffic increases the risk of accidents.