A nurse is caring for a group of clients on a pediatric unit. Which of the following clients is most at risk for insufficient vascular perfusion?

A. A dietitian is essential for managing cystic fibrosis because CF often leads to malabsorption of nutrients and requires a high-calorie, high-fat diet to support growth and maintain weight. Children with CF may also need enzyme supplements to aid in digestion. However, this can be done after addressing the respiratory concerns.
B. Regular physical therapy is important for helping the child with respiratory exercises and techniques to clear mucus from the lungs, as well as improving overall physical conditioning and endurance. Physical therapy helps manage and prevent complications related to lung function, which is a key concern in CF.
C. A speech-language pathologist can be helpful in assessing and treating communication and swallowing disorders but they are not typically the primary focus in the management of cystic fibrosis unless the child has specific issues related to speech or swallowing that are not common in CF.
D. An occupational therapist helps children develop skills for daily living and fine motor skills. While this can be beneficial for children with various conditions, it is not usually a primary focus for a child with cystic fibrosis unless there are specific concerns related to fine motor skills or activities of daily living.

A. Walking the bicycle through intersections helps the child avoid potential accidents. At intersections, visibility and the potential for sudden, unexpected vehicle movements make walking the bike a safer option than riding through. This practice reduces the risk of collisions and allows the child to be more cautious when crossing streets.
B. The recommended safety distance for cyclists from the curb is usually at least 3 feet, but this can vary by location and specific traffic laws. Keeping a safe distance from the curb is important to avoid hazards like debris and to ensure a buffer from parked cars or other obstacles.
C. When seated on the bicycle, the child’s feet should be able to touch the ground to maintain balance and safety when stopped. The 3 to 6 inches off the ground guideline ensures the bike is appropriately sized for the child, allowing them to maintain control and stability while riding. If the child cannot touch the ground with their feet, they may struggle with stopping and balancing the bicycle.

D. Bicyclists should always ride with the flow of traffic. Riding against traffic increases the risk of collisions because drivers are not expecting cyclists coming from the opposite direction. Riding with traffic allows drivers to anticipate the cyclist’s movements and helps ensure better visibility and safety.