A nurse is developing a plan of care for a 4-year-old child who has hemophilia and is experiencing acute hemarthrosis. Which of the following interventions should the nurse include in the plan?

A. A child who is postoperative following a tonsillectomy and reports moderate throat pain.

While postoperative pain management is important, moderate throat pain in a child who has undergone a tonsillectomy is expected. This client's condition is stable, and their pain can be managed with appropriate interventions. It is not the most urgent situation among the options provided.

B. A child who had a cardiac catheterization using the femoral artery and has blanching of the toes.

Blanching of the toes following a cardiac catheterization using the femoral artery can indicate compromised circulation, potentially leading to ischemia or necrosis. This requires immediate assessment to prevent further complications.

C. A child who has bacterial pneumonia and is due for their initial dose of IV antibiotics.

While timely administration of antibiotics is important in the treatment of bacterial pneumonia, missing the initial dose by a short period of time is not likely to result in significant harm compared to a potential circulatory compromise in option B.

D. A child who has juvenile idiopathic arthritis and needs assistance with the application of prescribed splints.

While providing assistance with splint application is necessary for comfort and mobility, it is not as urgent as assessing potential circulatory compromise or initiating antibiotic therapy for pneumonia.

A. Dry mouth: Dry mouth is not a common adverse effect of cefazolin. It is more commonly associated with other medications, such as anticholinergic drugs. While dry mouth may be uncomfortable, it is not typically considered a serious adverse effect of cefazolin that requires immediate reporting.

B. Constipation: Constipation is also not a common adverse effect of cefazolin. It is more commonly associated with other medications, dietary factors, or underlying medical conditions. Similar to dry mouth, constipation is not typically considered a serious adverse effect of cefazolin that requires immediate reporting.

C. Back pain: Back pain is not a common adverse effect of cefazolin. While musculoskeletal adverse effects can occur with some antibiotics, back pain is not typically associated with cefazolin. However, if severe or persistent back pain occurs, it should be reported to the healthcare provider for evaluation.

D. Urticaria: Urticaria, also known as hives, is a potential adverse effect of cefazolin and other antibiotics. It is characterized by raised, itchy welts on the skin and can be a sign of an allergic reaction. Urticaria should be reported to the healthcare provider immediately, as it may indicate a serious allergic reaction requiring prompt medical attention.