Exhibit 1. Diagnostic Results.
HbA1c 8.5%. Exhibit 2. Hgb 13.5 mg/dL. Hct 39%. WBC count 9,600/mm3.
Exhibit 3. A nurse is reviewing the medical record of a school-age child who has cystic fibrosis.
Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)

Choice A rationale:

Limiting fluids at bedtime is not a suitable instruction for a child with sickle cell disease. These patients are at risk of dehydration due to increased red blood cell destruction, and limiting fluids can exacerbate this condition, leading to vaso-occlusive crises and pain episodes.

Choice B rationale:

Applying cold compresses to painful areas might provide temporary relief for pain associated with sickle cell disease, but it does not address the overall management of the illness. Encouraging physical activity, on the other hand, is essential as it promotes overall health and can prevent complications like thrombosis.

Choice C rationale:

Encouraging physical activity as tolerated is the correct choice. Regular physical activity helps improve circulation and can reduce the risk of vaso-occlusive crises in patients with sickle cell disease. The nurse should advise the guardians to encourage the child to engage in activities that are appropriate for their age and physical condition, while also being mindful of any signs of fatigue or pain.

Choice D rationale:

Having the child wear a surgical mask to school is not relevant to the management of sickle cell disease. This measure is more appropriate for preventing the spread of contagious diseases and is not a specific intervention for sickle cell disease management.

Choice A rationale:

Lack of sleep is a common trigger that increases the risk of seizures in individuals with a seizure disorder. Sleep deprivation can lower the seizure threshold, making individuals more susceptible to seizures. Educating the guardians about the importance of maintaining a regular sleep schedule for the child can help minimize the risk of seizures.

Choice Brationale:

Decreased temperature is not a common trigger for seizures. In fact, high fever, rather than decreased temperature, is associated with febrile seizures in children. Febrile seizures are triggered by a rapid increase in body temperature.

Choice Crationale:

Exposure to secondhand smoke is a trigger for respiratory issues but is not directly linked to seizures. While it is essential to educate families about the dangers of secondhand smoke, it is not a specific trigger for seizures.

Choice D rationale:

Prolonged headache is not a trigger for seizures. However, it could be a symptom of an underlying neurological issue, and individuals experiencing persistent headaches should seek medical evaluation for proper diagnosis and management.