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.
C, D, E
Feedback
Correct 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.
Incorrect 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.
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