The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

300 to 800 ml of fluid per day.

1500 to 2,000 ml of fluid per day.

2,500 to 3,200 ml of fluid per day.

1,000 to 1,200 ml of fluid per day.

Answer and Explanation

The Correct Answer is B

Choice A reason: 300-800 ml/day is too low for a child with sickle cell disease, risking dehydration and sickling crises. 1500-2000 ml maintains hydration, making this insufficient and incorrect compared to the adequate fluid intake needed to prevent complications in the child’s home care.

Choice B reason: 1500-2000 ml/day ensures adequate hydration for a child with sickle cell disease, reducing blood viscosity and sickling risk. This aligns with pediatric hematology guidelines for preventing crises, making it the correct fluid intake recommendation for the caregiver to support the child’s health at home.

Choice C reason: 2500-3200 ml/day exceeds typical needs for a child, risking fluid overload without added sickle cell benefit. 1500-2000 ml is optimal, making this excessive and incorrect compared to the recommended fluid range for managing sickle cell disease effectively at home.

Choice D reason: 1000-1200 ml/day is below the optimal range for a child with sickle cell disease, increasing dehydration and crisis risk. 1500-2000 ml better supports hydration, making this inadequate and incorrect compared to the fluid intake needed to prevent sickle cell complications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Living with grandparents while the mother works two jobs provides potential supervision, reducing developmental risks compared to homelessness. Sleeping in a car disrupts stability and safety, making this less challenging and incorrect for the situation most likely to impact children’s growth and development.

Choice B reason: An empty house after school poses risks but offers a stable home environment, unlike sleeping in a car, which lacks safety and consistency. Latchkey situations are less severe, making this incorrect compared to the extreme instability of homelessness affecting children’s developmental outcomes.

Choice C reason: Sleeping in a car at night indicates homelessness, severely disrupting children’s physical, emotional, and cognitive development due to lack of stable housing, nutrition, and safety. This situation poses the greatest challenge, aligning with pediatric social determinants of health, making it the correct choice.

Choice D reason: Sharing an apartment with another family provides housing stability, unlike sleeping in a car, which severely impacts development. Crowded living is less detrimental than homelessness, making this incorrect for the situation most likely to challenge children’s growth and development in the care plan.

A. “The highest incidence of this disease is seen in children who are adolescents.” B. “The cause of this disease can be treated very simply.” C. “It is important to increase the intake of protein for these children.” D. “These children have a severe deficiency of vitamin D.” E. “These children have a severe deficiency of vitamin D.”

Correct Answer is C

Explanation

Choice A reason: Kwashiorkor primarily affects young children, not adolescents, due to protein deficiency during critical growth periods. Increasing protein intake is the key treatment, making this inaccurate, as it misidentifies the age group most impacted by this nutritional disorder in the in-service discussion.

Choice B reason: Treating Kwashiorkor is complex, requiring gradual protein reintroduction and management of complications, not a simple fix. Increasing protein is central, but the process is intricate, making this incorrect compared to the accurate focus on protein supplementation for recovery in affected children.

Choice C reason: Kwashiorkor results from severe protein deficiency, and increasing protein intake is critical for treatment, restoring growth and tissue repair. This aligns with pediatric nutritional deficiency management, making it the most accurate statement about addressing Kwashiorkor in children during the in-service program.

Choice D reason: Kwashiorkor is caused by protein deficiency, not vitamin D deficiency, which is linked to rickets. Protein supplementation is the primary intervention, making this incorrect, as it misattributes the nutritional cause of Kwashiorkor to a vitamin deficiency in the context of the discussion.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing a care plan for several clients who were seen in the clinic that day. Which situation will the nurse conclude is most likely to experience challenges in the growth and development of the children?

Correct Answer is C

Explanation

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with Kwashiorkor. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of Kwashiorkor?

Correct Answer is C

Explanation

The nurse has an order to administer a rectal suppository to a 3-month-old child. In addition to lubricating the suppository, which intervention will help assure appropriate administration of the medication?

The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

A 3-year-old who has been attending preschool has been diagnosed with leukemia. The caregivers of this child ask the nurse what they can do to help their child feel secure. Which recommendation could the nurse make to these caregivers that would be helpful in making the child feel secure?

The nurse is reviewing a client’s chart and notes that the child is in droplet precautions for pneumonia. What protection would she need to take in caring for the child?

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused?

The nurse is working with a 12-year-old who is hospitalized with a chronic illness. Which action by the nurse might help the chronically ill preteen thrive while hospitalized?