A nurse is caring for a child who has had diarrhea for 3 days.
Which of the following actions should the nurse take?

Choice A rationale

Ensuring that the balls of your feet touch the ground when seated on the bicycle can actually indicate that the bicycle is too small. Proper bicycle fitting for children is essential for both comfort and safety. The balls of the feet should only touch the ground when the child is off the saddle, indicating that the seat height allows for proper leg extension while pedaling. This helps in efficient pedaling and reduces the risk of knee injuries.

Choice B rationale

Choosing a helmet that is light in color and covers your ears is important for bicycle safety. A light-colored helmet increases visibility to motorists, especially in low-light conditions, reducing the risk of accidents. Helmets should fit snugly and cover the forehead without obstructing the ears, ensuring they remain in place during a fall or collision. This protection is crucial to prevent head injuries, which can be severe and life-threatening in the event of an accident.

Choice C rationale

Riding a bicycle through crosswalks and intersections instead of walking it increases the risk of accidents. Pedestrians have the right of way in crosswalks, and riding through them can lead to collisions with both vehicles and pedestrians. Walking the bicycle allows the rider to better observe traffic signals, check for oncoming vehicles, and make safer decisions, thus significantly reducing the risk of accidents and ensuring the safety of all road users.

Choice D rationale

Riding against traffic to allow visibility to oncoming vehicles is extremely dangerous and against most traffic laws. Bicycle riders should ride with the flow of traffic to avoid head-on collisions and ensure predictability for other road users. Oncoming traffic may not expect a bicycle in their lane, increasing the risk of accidents. Riding with traffic helps to follow the same signals and signs as motor vehicles, ensuring better integration and safety on the road.

Choice A rationale: Administering intravenous dextrose as prescribed is crucial to rapidly raise the newborn's blood glucose level from the critically low value of 35 mg/dL. This intervention addresses the immediate risk of hypoglycemia and helps stabilize the newborn's metabolic status.

Choice B rationale: Warming the newborn using skin-to-skin contact promotes thermoregulation, which is essential for maintaining body temperature and overall stability. Keeping the newborn warm supports metabolic processes and aids in reducing the risk of hypoglycemia and other complications.

Choice C rationale: Administering phototherapy immediately is not necessary unless bilirubin levels are significantly elevated. The primary concern here is hypoglycemia, not hyperbilirubinemia.

Choice D rationale: Monitoring blood glucose levels every 30 minutes ensures that the interventions to correct hypoglycemia are effective. Frequent monitoring helps identify any need for further adjustments to treatment.

Choice E rationale: Administering antibiotics to treat suspected neonatal sepsis is not indicated based on the current symptoms and diagnostic results. The primary issue is hypoglycemia, which requires prompt correction.