A nurse in a pediatric intensive care unit is assessing a 6-month-old infant. Which of the following findings should the nurse identify as an indication of neurological impairment?

A. "Your child might need to have their tonsils and adenoids removed." Removal of tonsils and adenoids is not typically related to cystic fibrosis management. This statement is not accurate in the context of cystic fibrosis home care.

B. "Your child will take isoniazid for 9 months." Isoniazid is used for the treatment or prevention of tuberculosis, not cystic fibrosis. This statement is not relevant to cystic fibrosis.

C. "Your child will have chest x-rays periodically to monitor for disease reactivation." Periodic chest x-rays are more commonly used to monitor lung infections and complications in cystic fibrosis patients, not specifically for disease reactivation.

D. "Your child should take pancreatic enzymes with meals and snacks." Children with cystic fibrosis often have pancreatic insufficiency, requiring pancreatic enzyme supplements with meals and snacks to aid digestion and nutrient absorption.

A. "I will encourage my child to participate in physical activities." Physical activity helps maintain joint function and muscle strength. It is beneficial for managing juvenile idiopathic arthritis.

B. "I will apply cold packs to my child's swollen, painful joints." Warm packs are typically more beneficial for juvenile idiopathic arthritis to relieve pain and stiffness. Cold packs are less commonly recommended.

C. "I will administer NSAIDs 1 hour before meals." NSAIDs should be given with food or milk to minimize gastrointestinal irritation, not before meals.

D. "I will dress my child and clean their room for them." Encouraging independence is important. While assistance may be necessary during flares, fostering independence is crucial for self-esteem and physical function.