A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the disease at home.
Which of the following instructions should the nurse include?
Report sudden, persistent headaches.
Apply cold compresses to painful areas.
Restrict fluid intake during times of stress.
Avoid meningococcal immunizations.
The Correct Answer is A
Choice A rationale:
The nurse should instruct the parents to report sudden, persistent headaches in a child with sickle cell anemia because it could be a sign of a cerebrovascular accident (stroke) Sickle cell anemia predisposes individuals to vaso-occlusive crises, which can lead to stroke due to impaired blood flow. Early detection and intervention are crucial in preventing complications.
Choice B rationale:
Applying cold compresses to painful areas may help in managing pain during vaso-occlusive crises, but it is not as critical as identifying signs of more severe complications such as stroke. This instruction does not address the urgency of reporting sudden, persistent headaches.
Choice C rationale:
Restricting fluid intake during times of stress is not appropriate for a child with sickle cell anemia. In fact, maintaining adequate hydration is important to prevent vaso-occlusive crises. Dehydration can exacerbate sickling of red blood cells, leading to more pain and complications.
Choice D rationale:
Avoiding meningococcal immunizations is not appropriate for a child with sickle cell anemia. In fact, children with sickle cell disease are at an increased risk of infections, including meningitis. Immunizations, including those for meningococcus, are essential to prevent life-threatening infections in these individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}
Explanation
Upper gastrointestinal (GI) endoscopy: This procedure is often indicated for patients presenting with symptoms suggestive of gastrointestinal bleeding, such as dark, tarry stools (melena), which can indicate bleeding in the upper GI tract.
Dark tarry stool: This finding suggests the presence of digested blood, which typically originates from the upper GI tract. This symptom, along with a history of abdominal pain that worsens after eating, indicates a potential peptic ulcer or other upper GI pathology.
Correct Answer is A
Explanation
A. Correct. In a laissez-faire leadership style, the leader allows the group to freely discuss topics of interest. This approach promotes open discussion and sharing of information.
B. Incorrect. This choice is not relevant to the leadership style described.
C. Incorrect. This choice is not relevant to the leadership style described.
D. Incorrect. This choice is not relevant to the leadership style described.
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