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    Ati Rn Paediatrics Nursing 2023 Proctored Exam

    A nurse is providing discharge teaching to the parent of a 5-year-old child who has sickle cell anemia and was admitted for a vaso-occlusive crisis. Which of the following instructions should the nurse include in the teaching?

    Explanation & Rationale

    A. "You should schedule a follow-up appointment with your provider in 1 month.": Follow-up appointments are important, but for a child with sickle cell anemia, the timing depends on the severity of the episode and overall health. A generic 1-month follow-up is not the primary discharge teaching point compared with ongoing disease-modifying therapy. B. "You should administer aspirin daily to your child.": Aspirin is generally avoided in children with sickle cell anemia due to the risk of Reye’s syndrome. It is not a standard therapy for preventing vaso-occlusive crises. C. "Your child will need weekly blood transfusions.": Routine weekly transfusions are not required for all children with sickle cell anemia and are reserved for specific complications, such as severe anemia or stroke prevention. D. "Your child will need to receive hydroxyurea.": Hydroxyurea is a disease-modifying medication that helps reduce the frequency of vaso-occlusive crises, acute chest syndrome, and the need for transfusions. Teaching about hydroxyurea, including administration, side effects, and monitoring, is essential for discharge education.

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