Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A nine-year-old child is being discharged after recovery from a sickle cell vaso-occlusive episode. The nurse teaches the parents the “do’s and don’ts” concerning the child’s care. The nurse is satisfied that the parents understand the principles of care when they state that they are:
  1. Hiring a private tutor to help with schoolwork
  2. Not permitting the child to engage in strenuous activities
  3. Keeping the child’s fluid intake restricted during the night
  4. Not allowing the child to play with more than one peer at a time
Explanation
Answer - B - The nurse is satisfied that the parents understand the principles of care when they state that they are not permitting the child to engage in strenuous activities. Strenuous activities lead to increased cellular metabolism, causing tissue hypoxia, which can precipitate sickling.
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