A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

Choice A Reason:

Plan for a 30-minute teaching session about the procedure: While providing information about the procedure is crucial, a 30-minute teaching session might exceed the child's attention span and may overwhelm them. Short, age-appropriate explanations are generally more effective in this age group.

Choice B Reason:

Demonstrate deep-breathing and counting exercises: Teaching relaxation techniques like deep-breathing and counting exercises can help the child manage anxiety and stress during the procedure. These techniques can be beneficial for calming the child and providing a sense of control.

Choice C Reason:

Use vague language to describe the procedure: Using vague or overly simplified language might lead to confusion or increase anxiety in the child. Providing accurate, developmentally appropriate information is important for the child's understanding and preparation.

Choice D Reason:

Explain the procedure to the child when they are in the playroom: Explaining the procedure to the child in a familiar and comfortable environment like the playroom can help reduce stress and create a more relaxed atmosphere for the discussion. However, timing is crucial; the explanation should be given when the child is calm and receptive, not necessarily only in the playroom.

Choice A Reason:

A school-age child who has diabetes mellitus and a blood glucose of 200 mg/dL. A blood glucose level of 200 mg/dL in a child with diabetes may require management, but it might not present an immediate life-threatening situation.

Choice B Reason:

A toddler who has nephrotic syndrome and facial edema. Facial edema in a child with nephrotic syndrome requires assessment and potential intervention but might not pose an immediate threat to life compared to an airway obstruction.

Choice C Reason:

A preschool-age child who has a muffled voice and no spontaneous cough. A muffled voice and the absence of spontaneous cough could be indicative of an upper airway obstruction, which can be life-threatening. This requires immediate assessment and intervention to ensure the child's airway is clear and that breathing is not compromised.

Choice D Reason:

An adolescent who has Crohn's disease and a recent weight loss of 5 kg (11 lb).

- Weight loss in an adolescent with Crohn's disease is concerning but might not represent an immediate life-threatening situation compared to a potential airway obstruction.