A nurse is planning to provide education for a family who has a ...

[Ebrown]

A nurse is planning to provide education for a family who has a child with sickle-cell anemia. For the prevention of a sickle-cell crisis, the nurse should teach the family the importance of avoiding:
 
  1. Overhydration.
   2. Midrange altitudes.
   3. Weight loss without dehydration.
   4. Respiratory infection and dehydration.

Question 2

The nurse in the well-child clinic is concerned with injury prevention and includes topics appropriate to the age and behaviors of the child. Which injury prevention topics would be appropriate to prevent hearing loss?
 
  1. The five-year-old child should wear ear plugs when swimming to prevent otitis media.
  2. The 12-year-old child should restrict noise levels when listening to music through earphones.
  3. The bike helmet for a seven-year-old should be carefully fitted to prevent damage to the ear canal.
  4. The nine-year-old child should avoid sports activities that involve cheering crowds to prevent hearing loss.

[cloudre37]

Answer to Question 1

4
Rationale:
1. Hydration should be encouraged; risk of overhydration is minimal.
2. High altitudes with lower oxygen concentrations pose a risk; mid-altitude is not a risk factor.
3. Weight loss is acceptable as long as hydration is maintained.
4. The child with sickle-cell disease is at risk for infection, and dehydration can precipitate crisis.

Answer to Question 2

2
Rationale 1: Ear plugs are not considered necessary unless the child has myringotomy tubes.
Rationale 2: Preteens like to listen to loud music, which can damage the hearing.
Rationale 3: A poorly fitting helmet would be uncomfortable and the child would not wear it, but it is not related to hearing loss.
Rationale 4: The noise level at sporting events would not be of sufficient level or duration to damage hearing.
Global Rationale: