A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?

A. Kyphosis, an excessive outward curvature of the spine, may be a complication of sickle cell disease but is not typically considered a priority over acute neurological symptoms.
B. Constipation is a common symptom in sickle cell disease due to vaso-occlusive events, but it is not an acute concern unless severe or accompanied by other symptoms.
C. Enuresis, or bedwetting, may occur in children with sickle cell disease due to changes in renal function but is not typically considered a priority over acute neurological symptoms.
D. Facial twitching could be indicative of a seizure or other neurological complication, which is a serious concern requiring immediate attention, especially in a child with sickle cell disease who may be at increased risk for neurological complications due to the increased risk of stroke. Therefore, it is the priority finding to report to the provider.

A. The child's throat pain increasing is expected post-tonsillectomy and can be managed with pain medication. While important to address, it is not the priority in this situation.
B. The child refusing clear liquids may indicate discomfort or difficulty swallowing, but it is not as immediately concerning as other assessment findings.
C. The child crying often may be a response to pain or discomfort but does not indicate a physiological problem requiring immediate attention.
D. The child swallowing frequently is a priority finding because it could indicate bleeding, which is a significant complication after tonsillectomy and requires immediate intervention to prevent further complications or deterioration in the child's condition.