A nurse is discharging a child who has sickle cell anemia from a pediatric unit. What is the most important discharge instruction that the nurse should give to the child and family?
Avoid exposure to cold temperatures or high altitudes.
Drink plenty of fluids and avoid dehydration.
Take folic acid supplements daily.
Seek immediate medical attention for fever, pain, or swelling.
The Correct Answer is D
Choice A reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent vaso-occlusive crises, which are episodes of severe pain caused by blocked blood vessels due to sickled red blood cells.
Choice B reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent hemolytic crises, which are episodes of rapid red blood cell destruction due to dehydration or infection.
Choice C reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent megaloblastic anemia, which is a type of anemia caused by folic acid deficiency due to increased red blood cell production.
Choice D reason: This instruction is the most important for the nurse to give to the child and family, as it helps prevent sequestration crises, which are episodes of life-threatening organ damage caused by pooling of blood in the spleen or liver due to sickled red blood cells.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent vaso-occlusive crises, which are episodes of severe pain caused by blocked blood vessels due to sickled red blood cells.
Choice B reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent hemolytic crises, which are episodes of rapid red blood cell destruction due to dehydration or infection.
Choice C reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent megaloblastic anemia, which is a type of anemia caused by folic acid deficiency due to increased red blood cell production.
Choice D reason: This instruction is the most important for the nurse to give to the child and family, as it helps prevent sequestration crises, which are episodes of life-threatening organ damage caused by pooling of blood in the spleen or liver due to sickled red blood cells.
Correct Answer is B
Explanation
Choice A reason: This statement by the parent indicates a need for further teaching, as it shows a misunderstanding of the wound care instructions. The dressing on the insertion site should be removed after 24 hours and replaced with a band-aid.
Choice B reason: This statement by the parent indicates an understanding of the discharge instructions, as it shows awareness of how to monitor and prevent complications such as infection or hemorrhage.
Choice C reason: This statement by the parent indicates a need for further teaching, as it shows a lack of understanding of the activity restrictions. The child should avoid strenuous activities and exercise for at least one week or until cleared by the physician.
Choice D reason: This statement by the parent indicates a need for further teaching, as it shows a misunderstanding of the pain management instructions. The child should not take aspirin or ibuprofen, as they can increase the risk of bleeding. The child should take acetaminophen or other prescribed medications for pain relief.
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