Author Question: The nurse is instructing the parents of a child with sickle-cell anemia on safety precautions. What ... (Read 112 times)

MGLQZ · **on:** Jun 27, 2018

The nurse is instructing the parents of a child with sickle-cell anemia on safety precautions. What should the nurse emphasize during this teaching?

A) Suggest the child participate in sports activities without restriction.
B) Treat upper respiratory infections with over-the-counter medication.
C) Ensure a consistent and daily intake of adequate fluids to prevent dehydration.
D) Remind to avoid immunizations to prevent the introduction of bacteria into the body.

Question 2

An 18-month-old child is diagnosed with insufficient platelets. What should the nurse instruct the parents to reduce the risk of the child bleeding when at home? (Select all that apply.)

A) Check that all toys have soft corners.
B) Engage in limited amounts of rough play each day.
C) Ensure mouth care is performed with a soft toothbrush.
D) Do not apply Band-Aids or adhesive tape onto the skin.
E) Pad the side and crib rails on the bed at home to prevent bruising.

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

Answer to Question 1

C
Feedback:
Safety interventions for the child with sickle-cell anemia include ensuring an adequate daily intake of fluids to prevent dehydration. Dehydration will precipitate a crisis, which can be avoided. The child should avoid contact sports and long-distance running. Upper respiratory infections should be reported to the health care provider so appropriate treatment can be provided. Routine health care such as immunizations should be provided in order to prevent common childhood illnesses.

Answer to Question 2

A, C, D, E
Feedback:
To prevent bleeding in the child with insufficient platelets, the nurse should instruct the parents to check that all toys have soft corners so no skin scratches occur. Mouth care should only be done with a soft toothbrush so that gum excoriation does not occur. No adhesives should be applied to the skin because the skin can tear during the removal of these items. The bed and crib rails should be padded to ensure the child does not become bruised while sleeping. All rough play is to be avoided because this can lead to an accidental injury and subsequent bleeding.