The nurse is planning care for a young child who is admitted with sickle cell crisis. The parents are with the child, and neither has much information about the disease
When planning care for this family, the nurse will set which goal with this family?
A) The child will drink adequate amounts of fluid each day.
B) The child will play outside in the sun.
C) The family will not have the child vaccinated.
D) The family will plan vacations in high-altitude areas.
Answer: A
For the client with sickle cell disease, dehydration can lead to life-threatening consequences. The client's oral intake should be adjusted as necessary to keep the child well hydrated. Teach clients and parents how to monitor intake and output, and provide client teaching regarding fluid management. Playing outdoors in the sun can lead to dehydration, which can precipitate a crisis. Oxygen supply at high altitudes is too low for the client with sickle cell disease. The family should be taught to select low-altitude areas for vacation. Infection and illnesses with fever will increase the body's demand for oxygen, so it is important for the family to keep up with the child's immunization schedule.
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The parents are distressed about the appearance of their baby who has a Logan bow in place following the repair of a cleft lip. The nurse explains that the bow is a very important piece of post-surgical equipment because it:
a. Helps to satisfy the baby's sucking need b. Helps shape the lip c. Reduces tension on the suture line d. Makes nursing easier in the post-surgical period
Dehydration can cause which result?
a. Moist mucous membranes b. Weak pulses c. Tachycardia d. Polyuria e. Weight loss
The MOST important physiologic task of the neonate is to:
a. achieve equilibrium through stabilization of body systems b. adjust to parental figures c. learn to cry d. develop new reflexes
The prescription dosage unit and the dosage unit on hand will always be the same
Indicate whether the statement is true or false