Difficulty: Medium
Average Score: 62%
Simulated
A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the disease at home. Which of the following instructions should the nurse include?
Correct answer
A
Rationale
Correct Answer: A - Report sudden, persistent headaches
Rationale: Sudden, persistent headaches in a child with sickle cell anemia could indicate a serious complication such as a stroke. Immediate medical attention is crucial to prevent further complications. Reporting symptoms promptly can lead to timely interventions and prevent life-threatening situations.
Summary of Incorrect Choices:
B: Restricting fluid intake during times of stress is not recommended for children with sickle cell anemia as adequate hydration helps prevent dehydration and complications.
C: Applying cold compresses to painful areas may provide temporary relief, but it does not address the underlying cause of pain in sickle cell anemia.
D: Meningococcal immunizations are important for children with sickle cell anemia to prevent infections, so avoiding them is not recommended.
Rationale: Sudden, persistent headaches in a child with sickle cell anemia could indicate a serious complication such as a stroke. Immediate medical attention is crucial to prevent further complications. Reporting symptoms promptly can lead to timely interventions and prevent life-threatening situations.
Summary of Incorrect Choices:
B: Restricting fluid intake during times of stress is not recommended for children with sickle cell anemia as adequate hydration helps prevent dehydration and complications.
C: Applying cold compresses to painful areas may provide temporary relief, but it does not address the underlying cause of pain in sickle cell anemia.
D: Meningococcal immunizations are important for children with sickle cell anemia to prevent infections, so avoiding them is not recommended.