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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Free Nursing Study Resources

Correct Answer is ["5.6"]

Explanation

To calculate the dosage of amoxicillin for the toddler, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The toddler weighs 33 lb, which is approximately 15 kg (33 ÷ 2.2). The prescribed dose is 30 mg/kg/day, so for a 15 kg toddler, the total daily dose is 450 mg (15 kg × 30 mg/kg). This total daily dose should be divided into two doses to be given every 12 hours, resulting in 225 mg per dose (450 mg ÷ 2). Now, using the concentration of the amoxicillin suspension available, which is 200 mg/5 mL, calculate the volume of suspension needed for each dose. For a dose of 225 mg, the volume required is 5.625 mL (225 mg × 5 mL / 200 mg). Rounded to the nearest tenth, the nurse should administer 5.6 mL for each dose.

A. Brachial artery B. Radial artery C. Apex of the heart D. Carotid artery

Correct Answer is A

Explanation

A. The brachial artery is commonly used to assess the heart rate in infants due to its accessibility and the ease of palpation in smaller limbs.

B. The radial artery is not typically used in infants because it is less accessible and not as easily palpated in this age group.

C. While the apex of the heart is where heart sounds are best auscultated, it is not used to palpate the pulse in infants.

D. The carotid artery is not typically used for assessing the heart rate in infants due to the risk of applying excessive pressure.

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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

Correct Answer is ["5.6"]

Explanation

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

Correct Answer is A

Explanation

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