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The nurse is discharging a child with sickle cell anemia after treatment for a sickle cell crisis. Which of the following, if stated by the parents, indicates the need for further instruction?

Explanation

•"I will restrict my child from drinking any fluid before bed, to prevent bedwetting."  Patients with sickle cell anemia should have an adequate fluid intake to prevent dehydration, especially in hot weather and during activity. Dehydration, infection, and acidosis can trigger a sickle cell crisis.

The following are true:

•The child needs adequate rest in order to reduce stress and illness.

•Children with sickle cell anemia need to be followed closely at regular health care visits. The parents should bring their child in at the first sign of infection to prevent complications.

•Children should attend regular school activities except contact sports which would result in rupture of an enlarged spleen.

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