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.

Answer and Explanation

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.

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Correct Answer is ["20"]

Explanation

To administer the correct dose of erythromycin ethylsuccinate, which is 800 mg, when the available medication concentration is 200 mg per 5 mL, the nurse needs to calculate the volume of medication to provide the prescribed dose. The calculation is as follows: 800 mg divided by 200 mg equals 4. Then, multiply 4 by 5 mL to get the total volume needed for the 800 mg dose. Therefore, the nurse should administer 20 mL of erythromycin ethylsuccinate to deliver the prescribed 800 mg dose.

A. Loosen restrictive clothing. B. Place a pillow under the child's head. C. Position the child side-lying. D. Clear the area of hazards.

Correct Answer is C

Explanation

A. Loosening restrictive clothing is important for ensuring the child’s comfort and preventing injury, but it is not the immediate priority.

B. Placing a pillow under the child’s head can help prevent head injury during a seizure, but positioning the child is more urgent to prevent aspiration.

C. Positioning the child side-lying is the priority because it helps maintain an open airway and reduces the risk of aspiration of vomit during the seizure. Protecting the airway is the most critical intervention in this scenario.

D. Clearing the area of hazards is important to prevent injury during the seizure, but it is secondary to ensuring the child's airway is protected.

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The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 4 hr. Available is erythromycin ethylsuccinate 200 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["20"]

Explanation

A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?

Correct Answer is C

Explanation

A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?

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