A nurse is providing teaching to the guardians of a school-age child who has sickle cell disease about management of the illness.
Which of the following instructions should the nurse include?<\/p>\n\n\n\n
A. Limit fluids at bedtime.
B. Apply cold compresses to painful areas.
C. Encourage physical activity as tolerated.
D. Have the child wear a surgical mask to school.<\/p>\n\n\n\n
The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is C. Encourage physical activity as tolerated.<\/strong><\/p>\n\n\n\n Sickle cell disease (SCD) is a genetic disorder that affects hemoglobin in red blood cells, causing them to become rigid and sickle-shaped. These sickled cells can lead to blockages in blood vessels, causing pain crises and increasing the risk of complications. Managing SCD involves several strategies aimed at preventing crises, minimizing pain, and promoting overall well-being.<\/p>\n\n\n\n A. Limit fluids at bedtime.<\/strong> This option is incorrect because adequate hydration is crucial for individuals with sickle cell disease. Staying well-hydrated helps maintain blood volume and reduces the likelihood of vaso-occlusive crises, which can be triggered by dehydration. Therefore, rather than limiting fluids, guardians should be encouraged to ensure that the child drinks plenty of fluids throughout the day, particularly in hot weather or when exercising.<\/p>\n\n\n\n B. Apply cold compresses to painful areas.<\/strong> This is also incorrect. Cold therapy can cause vasoconstriction, which may further block blood flow and worsen pain in patients with sickle cell disease. Instead, heat therapy is typically recommended to promote vasodilation and increase blood flow to painful areas.<\/p>\n\n\n\n C. Encourage physical activity as tolerated.<\/strong> This is the correct option. Regular physical activity is beneficial for children with sickle cell disease as it helps improve cardiovascular fitness, muscle strength, and overall health. However, it should be tailored to the child\u2019s individual tolerance levels and monitored for signs of fatigue or pain. It\u2019s essential for caregivers to balance activity with rest, particularly during hot weather or when the child is feeling unwell.<\/p>\n\n\n\n D. Have the child wear a surgical mask to school.<\/strong> While this may be advisable in certain situations to reduce the risk of infections, it is not a routine requirement for all children with sickle cell disease. Instead, general infection prevention measures should be emphasized.<\/p>\n\n\n\n In summary, the best instruction for managing sickle cell disease in a school-age child is to encourage physical activity as tolerated, promoting a healthy lifestyle while being mindful of the child’s limitations.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is providing teaching to the guardians of a school-age child who has sickle cell disease about management of the illness.Which of the following instructions should the nurse include? A. Limit fluids at bedtime.B. Apply cold compresses to painful areas.C. Encourage physical activity as tolerated.D. Have the child wear a surgical mask to school. 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