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?

Choice A Reason:

Acknowledge the family members' feelings of guilt. While it's important to validate the family's feelings and provide emotional support, assuming or acknowledging guilt without evidence could be harmful. Instead, the nurse should offer empathy and support without attributing blame.

Choice B Reason:

Discourage the parents from allowing siblings to view the body. The decision of whether siblings should view the body is personal and should be respected based on the family's beliefs and preferences. The nurse should offer guidance and support, allowing the family to make an informed decision.

Choice C Reason:

Avoid discussing details of the attempt to revive the infant. Discussing the attempt to revive the infant might help the family understand the medical interventions performed and the efforts made. However, it should be approached with sensitivity and based on the family's readiness to receive such information.

Choice D Reason:

Provide a follow-up phone call 1 week following the infant's death. Following up with the family after a week allows for ongoing support, assessment of their emotional well-being, and providing additional resources or guidance as needed during the grieving process.

Choice A Reason:

Heat the formula to 39°C (102°F) prior to administration. Formula temperature should be warm, but heating it to a specific temperature like 39°C (102°F) is not typically necessary. Room temperature or slightly warm formula is often suitable.

Choice B Reason:

The supine position (lying flat on the back) is not recommended during enteral feedings. Infant should be placedin a semi-upright position (usually around 30 to 45 degrees)- this helps prevent aspiration and aids in proper digestion and passage of the feeding into the stomach.

Choice C Reason:

Offer the infant a pacifier during feedings. Offering a pacifier during enteral feedings could potentially interfere with the feeding process and may increase the risk of aspiration. It's generally not recommended during tube feedings.

Choice D Reason:

Instill the formula over a period of 30 to 45 minutes. Slowly administering the formula over this duration allows for proper digestion and reduces the risk of feeding-related complications.

Choice E Reason:

Check for residual volumes by aspirating stomach contents. Checking for residual volumes helps ensure the stomach is adequately emptying and can help prevent complications such as aspiration or feeding intolerance.