Health Promotion and Maintenance
62. When providing client teaching to the caregivers of a young child with sickle cell disease, a nurse should stress that:
Health Promotion and Maintenance
62. When providing client teaching to the caregivers of a young child with sickle cell disease, a nurse should stress that:
. The child's diet should include whole grains and leafy green vegetables.
. Immunizations should be delayed until the child enters school.
. There is a 50% chance that the child's future offspring will have sickle cell anemia.
. The parents should request IV Demerol if the child is hospitalized with pain crisis.
Test-Taking Tip
When a question has only one correct response (instead of several good responses and one best response), look for the response that seems reasonable. A diet with healthy foods is reasonable and correct for this child.
Content Area: Child Health, Hematological; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
Health Promotion and Maintenance
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Answer 1 is correct because these foods are high in fiber and folic acid. Fiber prevents constipation, a potential side effect of pain medication, and folic acid is needed for healthy red blood cell production. Answer 2 is incorrect because children with sickle cell anemia are at high risk for infection and should be properly immunized. Answer 3 is incorrect because the odds of the child's offspring having sickle cell anemia cannot be determined without knowing the genetic status of the person with whom the client conceives a child. Answer 4 is incorrect because the use of Demerol in children with sickle cell anemia is contraindicated since it carries an increased risk of seizure activity.