Which parental statements regarding precipitating factors for sickle-cell disease indicate correct understanding of the discharge information presented by the nurse? Select all that apply
1. "My child should avoid regular exercise."
2. "We should provide acetaminophen or ibuprofen to treat fever."
3. "Our child needs to drink lots of fluid to avoid dehydration when playing sports."
4. "High altitudes can cause exacerbation and should be avoided."
5. "Fluid restriction is necessary to avoid exacerbations from occurring."
2, 3, 4
Explanation:
1. Regular exercise and increased fluid intake are recommended activities for a child with sickle-cell disease and will not contribute to a sickle-cell crisis.
2. Fever, dehydration, and altitude are all precipitating factors contributing to a sickle-cell crisis.
3. Fever, dehydration, and altitude are all precipitating factors contributing to a sickle-cell crisis.
4. Fever, dehydration, and altitude are all precipitating factors contributing to a sickle-cell crisis.
5. Regular exercise and increased fluid intake are recommended activities for a child with sickle-cell disease and will not contribute to a sickle-cell crisis.
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