Nokea
A nurse is caring for an 8-year-old child who has sickle cell anemia and is recovering from a vaso-occlusive crisis. Which of the following precautions should the nurse include in the discharge teaching?
- A. Drink eight glasses of fluid daily.
- B. Maintain an updated haemophilus influenza type B immunization.
- C. Assume postural drainage positions every 6 hr.
- D. Avoid playground activities at school.
Correct Answer: A
Rationale: Maintaining hydration is crucial in preventing sickle cell crises as it helps to keep the blood less viscous.
You may also like to solve these questions
A nurse is caring for a 4-year-old child who is postoperative following abdominal surgery. Which of the following statements should the nurse make to encourage the child to take deep breaths?
- A. This will not be painful, just a little uncomfortable.
- B. Let's play a game of blowing cotton balls across your table.
- C. Do you want to take deep breaths for me now?
- D. You can't go to the playroom until you finish doing your deep breathing.
Correct Answer: B
Rationale: This makes deep breathing fun and engaging for the child encouraging them to participate.
A nurse is providing teaching about Iron deficiency anemia to the parents of a 14-month-old. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia?
- A. Avoid a diet consisting of primarily milk.
- B. Include whole grains and legumes in the diet.
- C. Administer fat-soluble vitamins daily.
- D. Limit intake of high-protein foods.
Correct Answer: A
Rationale: Milk especially cow's milk is low in iron and can inhibit iron absorption. Excessive milk consumption can also lead to iron deficiency anemia by displacing iron-rich foods from the diet and potentially causing gastrointestinal bleeding in infants.
A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide?
- A. Active psychiatric disorder
- B. Availability of firearms
- C. Family conflict
- D. Homosexuality
Correct Answer: A
Rationale: The presence of an active psychiatric disorder
A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?
- A. Bring your infant into the clinic today to be seen.
- B. You might want to try switching to a different formula.
- C. Give your infant an oral rehydration solution.
- D. Burp your child more frequently during feedings.
Correct Answer: A
Rationale: Projectile vomiting can be a sign of pyloric stenosis a condition that requires prompt medical evaluation.
A nurse is caring for a 7-year-old client who has an upper respiratory infection and a history of type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?
- A. I will notify the doctor if his temperature is not controlled with acetaminophen.
- B. I will continue to check his blood sugar two times every day.
- C. I will report a change in breathing or signs of confusion.
- D. I will encourage him to drink a half a cup of water or sugar-free fluid every 30 minutes.
Correct Answer: B
Rationale: Checking blood sugar only twice a day is insufficient during illness especially for a child with type 1 diabetes. Blood glucose levels can fluctuate significantly due to infection and more frequent monitoring (at least 4 times a day or as recommended) is necessary.