A child is diagnosed with beta-thalassemia major. What should the nurse teach the child's parents? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "Monitor transfusion of packed red blood cells as ordered.".
2. "Prepare yourselves for the care of a child who is seriously ill.".
3. "Prioritize the child's activities to allow for rest.".
4. "Your child will always be small, with a petite skeletal frame.".
5. "Be alert for allergic reactions to common foods such as peanuts and strawberries.".
1,2,3
Rationale 1: Patients with beta-thalassemia major require frequent transfusions of packed red blood cells, often starting early in life.
Rationale 2: Beta-thalassemia major is a serious illness, and many children with the disorder die in childhood.
Rationale 3: Prioritization of activities is an important part of managing this disorder.
Rationale 4: The bone marrow is always in a state of increased erythropoiesis, so the bones thicken and skeletal growth is abnormal.
Rationale 5: There is no indication that this child has an increased risk of food allergies.
You might also like to view...
Using the Universal Intellectual Standards (UIS) for critical thinking, which standard is exemplified in the following statement: "The patient reports taking 15 Vicodin every day"?
a. clarity c. precision b. accuracy d. relevance
The nurse caring for a client for several days has assessed that he has been eating poorly during his hospitalization. Which nursing measure should the nurse implement to assist the client in improving his nutritional intake?
A) Encourage his daughter to prepare food at home and bring it to the client. B) Serve large meals and encourage the client to eat as much as possible. C) Provide distractions while the client is fed so that he will eat more. D) Provide bland meals.
A student studying biology asks the professor to describe how the ras gene is involved in cancer proliferation. What explanation by the professor is best?
a. It suppresses the action of the tumor-suppressor genes. b. It changes the way the growth promotion genes work. c. A mutation in this gene allows continuous cell growth. d. It activates a cell surface receptor that allows signaling to the nucleus.
The body is built of living cells, and it can manufacture many substances that it needs. Which of the following is the most important substance that the body must take in?
A. fiber B. water C. vitamins D. minerals