Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?
Prepare for seizures.
Expect the skin to turn yellow.
Encourage progressive activity.
Prevent dehydration
The Correct Answer is D
A. Seizures are not a typical complication of polycythemia, though they may occur if the condition progresses to severe levels of blood viscosity.
B. Yellowing of the skin (jaundice) is not associated with polycythemia but with liver conditions.
C. While activity is important, preventing dehydration is more critical in managing polycythemia because dehydration increases blood viscosity, exacerbating the condition.
D. Preventing dehydration is essential as it helps maintain adequate blood flow and reduces the risk of thrombotic events in a child with polycythemia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A stool fat content analysis can indicate malabsorption issues but is not definitive for cystic fibrosis.
B. Pulmonary function tests assess lung function but do not confirm cystic fibrosis.
C. The sweat chloride test is the primary diagnostic test for cystic fibrosis, as it measures the amount of chloride in sweat, which is elevated in this condition.
D. A sputum culture can help identify respiratory infections but does not confirm cystic fibrosis.
Correct Answer is ["B","D","E"]
Explanation
A. Nighttime symptoms occurring twice a month is more characteristic of intermittent asthma rather than mild persistent asthma, which might present with nighttime symptoms more frequently.
B. In mild persistent asthma, the peak expiratory flow (PEF) is typically greater than or equal to 80% of the predicted value, indicating relatively good control of asthma symptoms.
C. Continuous symptoms throughout the day are not typical for mild persistent asthma; symptoms usually occur intermittently.
D. Minor limitations with normal activity are expected in mild persistent asthma, as the condition can cause some restrictions in daily activities but not severe impairments.
E. Daytime symptoms occur more than twice a week. This is a key feature of mild persistent asthma. Intermittent asthma = ≤2 days/week. Daily symptoms would indicate moderate persistent.
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