The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching?
Remind parents that the child should avoid immunizations to prevent the introduction of bacteria into the body.
Suggest the child participate in sports activities without restriction.
Treat upper respiratory infections with over-the-counter medication.
Ensure a consistent and daily intake of adequate fluids to prevent dehydration.
The Correct Answer is D
A. Children with sickle cell anemia should receive all recommended immunizations to protect against infections, which can trigger a sickle cell crisis.
B. Participating in sports should be done with caution, and activities that lead to dehydration or overexertion should be avoided.
C. Over-the-counter medications should be used cautiously and under the guidance of a healthcare provider, as some medications may not be suitable for children with sickle cell anemia.
D. Ensuring adequate hydration is crucial for preventing sickle cell crises. Dehydration can increase blood viscosity, leading to sickling of the red blood cells and subsequent pain and complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cromolyn sodium is a preventive medication and should be taken regularly as prescribed, not at the first sign of breathing difficulty.
B. Avoiding triggers that cause an asthma attack is crucial in asthma management and helps in preventing exacerbations.
C. Exercise can be managed in asthma with appropriate medication; it is not necessary to stop activities like basketball. Swimming may be less likely to trigger asthma symptoms but is not a blanket solution.
D. The peak expiratory flow meter should be used regularly, often daily, to monitor asthma control, not just once per week.
Correct Answer is ["4"]
Explanation
To calculate the flow rate in gtt/min, the nurse should use the formula: (Volume in mL * Drop factor) / Time in minutes. In this case, the prescribed volume is 150 mL/hr. Since there are 60 minutes in an hour, the time for the infusion is 12 hours * 60 minutes/hour = 720 minutes. The drop factor is 20 gtt/mL. Plugging these values into the formula gives: (150 mL * 20 gtt/mL) / 720 minutes = 3000 gtt / 720 minutes = 4.1666 gtt/min. Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 4 gtt/min.
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