A nurse is teaching a group of parents about preventing childhood obesity. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: In pediatric nursing, preventing childhood obesity is a crucial aspect of promoting overall health and well-being in children. The correct answer, D) Limit your child's TV watching to 1 to 2 hours per day, is essential in preventing obesity because excessive screen time is linked to sedentary behavior and poor dietary habits. By limiting TV watching, children are encouraged to engage in physical activity and spend less time on passive behaviors that contribute to weight gain. Option A) Serve your child 1 to 2 cups of fruit juice daily is incorrect because excessive fruit juice consumption can lead to excess calorie intake and contribute to weight gain due to its high sugar content. It is recommended to offer whole fruits instead. Option B) Feed your child whole milk until 2 years of age is incorrect because after the age of 1, it is recommended to switch to low-fat or non-fat milk to prevent excessive saturated fat intake, which can increase the risk of obesity. Option C) Eat at least one fruit or vegetable with each meal is a healthy dietary recommendation but may not directly address the prevention of childhood obesity as effectively as limiting screen time, which promotes overall physical activity and healthier lifestyle habits. Educationally, it is important for parents to understand the impact of lifestyle choices on their child's health. By explaining the rationale behind limiting TV watching to prevent childhood obesity, nurses empower parents to make informed decisions that promote a healthy lifestyle for their children. This guidance supports the holistic approach to pediatric care, focusing on both physical and mental well-being.

Correct Answer: A

Rationale: In the case of acute gastroenteritis in a 2-month-old infant who is bottle feeding, the nurse should recommend offering Pedialyte between formula feedings. This helps prevent dehydration and ensures that the infant receives essential electrolytes and fluids to aid in recovery. Pedialyte is specifically formulated to help replace lost fluids and electrolytes due to vomiting and diarrhea, making it a suitable choice for infants with gastroenteritis.

Correct Answer: D

Rationale: Rheumatic fever can lead to cardiac complications, such as dysrhythmias. Therefore, it is essential for the nurse to monitor the child's heart rate closely for any signs of dysrhythmias. This will help in early identification and prompt management of potential cardiac issues associated with rheumatic fever.

Correct Answer: A

Rationale: During the oliguric phase of acute kidney injury, the priority is to manage fluid balance. Administering a loop diuretic helps promote diuresis and reduce fluid retention, aiding in managing the condition effectively. Providing a low-sodium diet may be beneficial but is not the priority intervention during this phase. Weighing the child weekly may be important for monitoring overall health but does not directly address the oliguric phase. Providing a high-protein diet is not typically recommended in acute kidney injury, especially during the oliguric phase.

Correct Answer: D

Rationale: The correct answer is option D: "I will massage my child's ear after administering the ear drops." This statement indicates an understanding of the teaching because gentle massage after administering ear drops helps to facilitate the distribution of the medication within the ear canal, ensuring optimal effectiveness. Option A is incorrect because pulling the ear canal upward and backward is not the correct technique for administering ear drops to a child. Option B is incorrect as administering cold ear drops directly from the refrigerator can cause discomfort and may lead to dizziness. Option C is also incorrect as pulling the ear lobe down and back is not the appropriate technique for administering ear drops to a child. In the context of pediatric nursing, it is crucial for parents to understand the correct technique for administering ear drops to ensure the safety and well-being of their child. Proper education on this topic can prevent complications and promote effective treatment of ear infections, highlighting the importance of clear and accurate instructions provided by healthcare professionals.