The nurse provides instructions to the mother of a child with sickle cell disease. Which of the following statements, if made by the mother, indicates a need for further education?
1. "I need to be sure that my child has adequate rest periods."
2. "I need to take my child's temperature and watch for a fever."
3. "I need to encourage my child to drink large amounts of fluids."
4. "I need to make sure that my child spends some time in the sun to help prevent a sickle cell crisis."
4
Rationale: The nurse should instruct the mother to encourage fluid intake 1.5 to 2 times the daily requirements. Adequate rest periods should be provided, and the child should not be exposed to cold or heat stress. The mother should be taught how to take the child's body temperature and how to use a thermometer properly. Sources of infection should be avoided, as should prolonged exposure to the sun.
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A child with a history of seizures arrives in the Emergency Department in status epilepticus. The nurse's initial response is to:
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(Select all that apply.) a. Living will b. Durable power of attorney c. Health care proxy d. Patient's Bill of Rights e. The Uniform Anatomical Gift Act
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