Nokea
The nurse is teaching the parents of a child with sickle cell disease. To instruct them on how to prevent sickle cell crisis, she should include which instruction?
- A. Restrict the child's fluid intake to less than 1 quart per day.
- B. Start up a 1½ quarts of fluids per day.
- C. Stay away from other teenagers.
- D. Avoid physical activity.
Correct Answer: B
Rationale: Adequate hydration (1½ quarts daily) prevents blood viscosity, reducing the risk of sickle cell crisis. Other options are incorrect or overly restrictive.
You may also like to solve these questions
The parent of an 18-year-old with chronic renal disease states, "My son has so many problems. I'm really worried that he will not get the right care if he gets sick at college." The nurse should tell the parent:
- A. I can have his records sent to the school's health center.
- B. Make sure your son always carries his nephrologist's phone number.
- C. Your son can make an e-health history to facilitate his care if he gets sick away from home.
- D. Your son is going to need to learn to manage his own disease.
Correct Answer: D
Rationale: Promoting self-management is key.
A 9-month-old infant with eczema has lesions that are secondarily infected. Which of the following is most appropriate to help the parents best meet the needs of the child?
- A. Preventing siblings from being in close contact.
- B. Sending the child to day care as usual.
- C. Playing video games for several hours each evening.
- D. Playing with the child every day.
Correct Answer: D
Rationale: Playing with the child daily promotes emotional bonding and normal development, which is critical for a 9-month-old. Preventing sibling contact is unnecessary unless siblings are ill, day care may risk further infection, and video games are inappropriate for an infant.
Which of the following breathing rates should the nurse use when performing rescue breathing during cardiopulmonary resuscitation for a 5-year-old?
- A. 10 breaths/minute.
- B. 12 breaths/minute.
- C. 15 breaths/minute.
- D. 20 breaths/minute.
Correct Answer: B
Rationale: For a 5-year-old, the recommended rescue breathing rate during CPR is 12 to 20 breaths per minute, with 12 breaths/minute being appropriate to avoid hyperventilation.
During the initial assessment of a child admitted to the pediatric unit with osteomyelitis of the left tibia, when assessing the area over the tibia, which is a new needed finding?
- A. Diffuse tenderness.
- B. Decreased pain.
- C. Increased warmth.
- D. Localized edema.
Correct Answer: C
Rationale: Increased warmth is a key sign of osteomyelitis, indicating inflammation and possible infection in the affected bone.
After teaching the parents of a child with febrile seizures about methods to lower temperature other than using medication, which of the following statements indicates that further teaching is necessary?
- A. We'll add extra blankets when he complains of being cold.'
- B. We'll wrap him in a blanket if he starts shivering.'
- C. We'll make the bath water cold enough to make him shiver.'
- D. We'll use a solution of half alcohol and half water when sponging him.'
Correct Answer: A,B,C,D
Rationale: All options are incorrect: blankets increase temperature, cold baths cause discomfort, and alcohol sponging is unsafe. Further teaching is needed.