A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor?

Rationale:

A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection.

B. Using a mild detergent for the child's laundry can help minimize irritation to the skin.

C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.

D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence.

E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate.

F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.

G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.

Rationale:

A. While osteomyelitis is a serious condition requiring treatment, receiving an IV bolus of nafcillin is not an urgent procedure compared to a neurological symptom like slurred speech.

B. Pain management is important, but a pain level of 7, while significant, does not indicate an immediate life-threatening situation.

C. Slurred speech in an adolescent with sickle cell anemia could indicate a neurological complication or a stroke, which requires immediate assessment and intervention.

D. Although the toddler with a partial-thickness burn needs care, it is not as urgent as assessing a potential neurological issue like slurred speech.