The nurse is caring for a child with thalassemia who is receiving chelation therapy at home using a battery-operated pump. After teaching the parents about this treatment, which statement by the mother indicates a need for additional teaching?
A) "I can have the nurse administer the chelation therapy if I am uncomfortable."
B) "I must be very careful to strictly adhere to the chelation regimen."
C) "The deferoxamine binds to the iron so it can be removed from the body."
D) "The medication can be administered while my child is sleeping."
Ans: A
The nurse needs to emphasize to the mother that therapy must be maintained at home to continuously decrease the iron levels in the child's body. Family members need to be taught to administer deferoxamine subcutaneously with a small battery-powered infusion pump over a several-hour period each night (usually while the child is sleeping).
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