A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy.
Which of the following actions should the nurse include in the plan of care?

Choice A rationale:

"The test will measure the amount of chloride in your baby's sweat." Pilocarpine iontophoresis testing is used to diagnose cystic fibrosis by measuring the chloride content in the patient's sweat. Cystic fibrosis patients have elevated chloride levels in their sweat, which is a characteristic feature of the disease. Educating the parents about the purpose of the test helps them understand its significance in diagnosing their baby's condition.

Choice B rationale:

"We will measure the amount of protein in your baby's urine over a 24-hour period." Measuring protein in urine over a 24-hour period is a test for kidney function, not for cystic fibrosis. This statement is unrelated to the pilocarpine iontophoresis testing and may confuse the parents about the purpose of the procedure.

Choice C rationale:

"Your baby will need to fast for 8 hours prior to the test." Fasting is not a requirement for pilocarpine iontophoresis testing. This statement is incorrect and could cause unnecessary stress for the parents and the infant. It is essential to provide accurate information to ensure that the parents are well-prepared for the procedure.

Choice D rationale:

"A nurse will insert an IV prior to the test." Inserting an IV is not a part of the pilocarpine iontophoresis testing procedure. This statement is inaccurate and does not contribute to the parents' understanding of the test. Providing irrelevant information can create confusion and anxiety, which should be avoided during patient education.

Choice A rationale:

Providing frequent range of motion to the neck and shoulders is not appropriate for an infant with bacterial meningitis. Meningitis is an inflammation of the membranes surrounding the brain and spinal cord and can cause severe neck pain and stiffness. Range of motion exercises could exacerbate the discomfort and should be avoided.

Choice B rationale:

Keeping the television on in the room to provide background noise is not appropriate for an infant with bacterial meningitis. Infants with meningitis need a quiet and calm environment to reduce stimuli and promote healing.

Choice C rationale:

Padding the side rails of the crib is important to prevent injury during seizures, which can occur in bacterial meningitis. Seizures can cause uncontrolled movements, and padding the crib rails can prevent the infant from getting hurt during these episodes.

Choice D rationale:

Placing the infant in a semiprivate room is not appropriate for bacterial meningitis. Infants with meningitis need isolation to prevent the spread of the infection to other patients. They should be placed in a private room with strict infection control measures in place.