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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement by the parent indicates an understanding of the teaching, as it shows adherence to the recommended blood glucose monitoring schedule.
Choice B reason: This statement by the parent indicates an understanding of the teaching, as it shows adherence to the prescribed insulin regimen.
Choice C reason: This statement by the parent indicates an understanding of the teaching, as it shows awareness of how to treat hypoglycemia.
Choice D reason: This statement by the parent indicates a need for further teaching, as it shows a lack of understanding of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: This information is important but not specific for the nurse to include in the handoff report. It may be already available in the electronic health record or the transfer form.
Choice B reason: This information is specific and essential for the nurse to include in the handoff report, as it reflects the main problem and intervention for the child who has cystic fibrosis.
Choice C reason: This information is specific and essential for the nurse to include in the handoff report, as it reflects the routine and ongoing care for the child who has cystic fibrosis.
Choice D reason: This information is specific and essential for the nurse to include in the handoff report, as it reflects the secondary problem and intervention for the child who has cystic fibrosis.
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