CCRN Critical Care Nursing

Category - Pediatrics

When determining the effectiveness of teaching a child’s mother about sickle cell disease, which of the following statements by the mother indicates the need for additional teaching:
  1. “I’ve started to give him some extra fluids with and between meals.”
  2. “I’m concerned about how the hospital staff will manage his pain.”
  3. “He’s going to be playing on a soccer team when he’s feeling better.”
  4. “I’ve told the child’s father that both he and I are carriers of the disease.”
Explanation
Answer: C - “He’s going to be playing on a soccer team when he’s feeling better” definitely indicated the need of additional teaching. Physical and emotional stress can precipitate a sickle cell crisis. Physical exercise such as running involved in soccer would increase the child’s risk for a crisis. Thus, the mother needs additional instructions about this area.
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