Wednesday, January 17, 2024

A ten-year-old client has been diagnosed with sickle cell anemia (SCA).. Increase fluid intake

A ten-year-old client has been diagnosed with sickle cell anemia (SCA).

During discharge teaching, which of the following interventions does the nurse need to stress to the child and the family?
  • A. Increase fluid intake
  • B. Increase fat intake
  • C. Closely monitor bowel movements
  • D. Serve leafy green vegetable daily

The correct answer is A. Increase fluid intake.

Here's why:

- Increase fluid intake (A):

This is crucial for sickle cell anemia patients as dehydration can significantly increase the risk of pain crises and other complications. Aiming for 8-10 glasses of water a day is recommended.

- Increase fat intake (B):

While not necessarily harmful, increasing fat intake isn't specifically emphasized in managing SCA.

- Closely monitor bowel movements (C):

While constipation can be a concern, it's not a key intervention stressed for all SCA patients.

- Serve leafy green vegetables daily (D):

Eating a balanced diet rich in fruits and vegetables is important, but specifically highlighting leafy green vegetables daily isn't the main focus.

Therefore, A. Increase fluid intake is the most essential intervention for the nurse to emphasize during discharge teaching for a child with SCA. This will help prevent dehydration and related complications.

Remember, it's always best to consult with a healthcare professional for specific recommendations related to managing sickle cell anemia.