Which of the following instructions would you include in discharge teaching for the parents of a newborn diagnosed with sickle-cell anemia?
A)The importance of iron supplementation
B)The importance of monthly vitamin B12 injections
C)How to palpate the abdomen and take a temperature
D)That polyvalent pneumococcal vaccine is contraindicated

Question

Quizplus · Accepted Answer

The instruction that you would include in discharge teaching for the parents of a newborn diagnosed with sickle-cell anemia is how to palpate the abdomen and take a temperature. Acute splenic sequestration is a serious complication of sickle-cell anemia. Early detection of splenomegaly by parents is an important aspect of patient management. A temperature of 101.3 °F to 102.2 °F calls for emergency evaluation, even if the child appears well. The need for folic acid increases injections, so supplementation is prudent. Vitamin B12 and iron supplements aren't necessary. The Pneumococcal vaccine is used because children with sickle-cell anemia are prone to infection with Streptococcus pneumoniae.

Which of the Following Instructions Would You Include in Discharge