Author Question: A nurse is teaching home care instructions to parents of a child with sickle cell disease. Which ... (Read 109 times)

formula1 · **on:** Jun 27, 2018

A nurse is teaching home care instructions to parents of a child with sickle cell disease. Which instructions should the nurse include? Select all that apply.

a. Limit fluid intake.
b. Administer aspirin for fever.
c. Administer penicillin as ordered.
d. Avoid cold and extreme heat.
e. Provide for adequate rest periods.

Question 2

A nurse is caring for a neonate requiring phototherapy for a high bilirubin. Which interventions should the nurse implement? Select all that apply.

a. Cover the neonate's eyes with an opaque mask.
b. Limit repositioning of the neonate.
c. Dress the neonate in a T-shirt and diaper.
d. Monitor the bilirubin level.
e. Monitor temperature ever 2 to 4 hours.

dreamfighter72 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C, D, E
Parents should be taught to avoid cold, which can increase sickling, and extreme heat, which can cause dehydration. Adequate rest periods should be provided. Penicillin should be administered daily as ordered. The use of aspirin should be avoided; acetaminophen or ibuprofen should be used as an alternative. Fluids should be encouraged and an increase in fluid intake is encouraged in hot weather or when there are other risks for dehydration.

Answer to Question 2

A, D, E
During hospitalization, to maximize the effectiveness of phototherapy, the neonate should be completely undressed or wearing only a diaper. While phototherapy is in use, the neonate's eyes are covered with an opaque mask that is usually secured in place with a headband or cloth adhesive. The neonate's position is changed frequently to ensure maximal skin exposure to the light source. Monitoring the neonate's bilirubin level is performed one to four times daily to assess the effectiveness of phototherapy. The nurse monitors the neonate's temperature every 2 to 4 hours to ensure maintenance within normal limits. The additional heat generated by the phototherapy unit places the neonate at risk for hyperthermia. The lack of clothing on the neonate increases the possibility of heat loss through convection, conduction, radiation, and evaporation and may lead to hypothermia.