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 C
Explanation
A. Allowing the child to adapt to the surroundings is not as critical as monitoring for complications.
B. Informing the child about the completion of the procedure is important for emotional support but does not address immediate post-procedure care needs.
C. Checking pedal pulses frequently is crucial after cardiac catheterization via the femoral artery to monitor for complications such as reduced blood flow or clot formation at the insertion site.
D. Encouraging the child to talk about the procedure is supportive but not the primary concern immediately following the procedure.
Correct Answer is A
Explanation
A. Projectile vomiting is a classic sign of pyloric stenosis due to the obstruction of the pylorus, which prevents normal stomach emptying.
B. A ridged abdomen is not specific to pyloric stenosis; it may indicate other abdominal issues.
C. Red currant jelly stools are associated with intussusception, not pyloric stenosis.
D. Distended neck veins are typically associated with right-sided heart failure or fluid overload, not pyloric stenosis.
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