A nurse is assessing an infant who has acute otitis media.
Which of the following findings should the nurse expect? (Select all that apply.)

Choice A rationale:

Abdominal pain in a postoperative patient, especially after an appendectomy, is concerning and should be reported to the provider immediately. It could indicate complications such as infection, ileus, or surgical site issues. Prompt reporting and assessment are crucial to prevent further complications and ensure the patient's well-being.

Choice B rationale:

Muscle rigidity is not a typical finding 1 hour postoperative following an appendectomy. While muscle rigidity can be a sign of various conditions, it is not a common immediate concern after this type of surgery, especially in the early postoperative period.

Choice C rationale:

A temperature of 36.4°C (97.5°F) is within the normal range for body temperature. While it's important to monitor the patient's temperature for signs of infection, this temperature alone is not a cause for immediate concern.

Choice D rationale:

A heart rate of 63/min is within the normal range for an adolescent at rest. Heart rate can vary based on factors such as age, activity level, and overall health. A heart rate of 63/min does not indicate an immediate problem and is not a cause for immediate concern in this context.

Choice A rationale:

Instructing the child to walk the bicycle through intersections promotes safety by reducing the risk of accidents. Walking the bicycle ensures better visibility to drivers and allows the child to react quickly to any unexpected situations. This instruction aligns with safe biking practices and helps prevent collisions at intersections.

Choice B rationale:

Riding the bicycle against the flow of traffic is unsafe and increases the risk of accidents. Bicyclists should always ride in the same direction as traffic, following the rules of the road. Riding against traffic confuses drivers and reduces the child's visibility, making it more likely to be involved in an accident.

Choice C rationale:

Keeping the bicycle at least 3 feet from the curb while riding in the street is a good safety practice. This distance provides a buffer zone between the child and passing vehicles, reducing the risk of sideswipe accidents. Maintaining a safe distance from the curb allows the child room to maneuver and avoids hazards like potholes or debris at the edge of the road.

Choice D rationale:

Having the child's feet 3 to 6 inches off the ground when seated on the bicycle is an appropriate guideline. The child should be able to touch the ground with their feet while sitting on the bicycle seat. This ensures stability and allows the child to stop the bicycle easily when needed, enhancing overall control and safety while riding.