Question

The nurse is caring for a 5-year-old with sickle cell disease. What will the nurse include in the client's plan of care?

A) Assess for maxillary prominence
B) Monitor for signs and symptoms of infection
C) Administer deferasirox as prescribed
D) Maintain oxygen saturation at 93% or higher
E) Maintain fluid intake at 1600 ml/m2

Answer 1

In the plan of care for a 5-year-old with sickle cell disease, the nurse should include monitoring for signs of infection, maintaining oxygen saturation at 93% or higher, and maintaining fluid intake at 1600 ml/m2.

Step-by-step explanation:

In the plan of care for a 5-year-old with sickle cell disease, the nurse should include:

• Monitor for signs and symptoms of infection: Sickle cell disease weakens the immune system, making the child more susceptible to infections. Therefore, the nurse should closely monitor the child for any signs of infection, such as fever, increased heart rate, and changes in respiratory status.
• Maintain oxygen saturation at 93% or higher: Sickle cell disease can lead to reduced oxygen-carrying capacity of the blood, so it is important to maintain the child's oxygen saturation at 93% or higher to ensure adequate oxygen supply to the body.
• Maintain fluid intake at 1600 ml/m2: Adequate hydration is crucial for children with sickle cell disease to prevent dehydration and reduce the risk of sickling of red blood cells. The nurse should ensure that the child is maintaining a fluid intake of 1600 ml/m2 per day.