A nurse is providing education to the parents of a child who is receiving chemotherapy and is at risk for developing mucositis. Which of the following statements by the parents indicates an understanding of the teaching?

A. Sitting upright may help with drainage and comfort once the child is more awake, but immediately post-op, it is not the safest initial position because the child may still be drowsy from anesthesia and at risk for airway obstruction.
B. Prone position alone does allow secretions to drain forward, but it is not always the most comfortable or safest option for all children.
C. Prone or side-lying position is the priority immediately after a tonsillectomy. These positions facilitate drainage of secretions, reduce the risk of aspiration, and help maintain a patent airway while the child is recovering from anesthesia. Once fully awake and alert, the child may then be positioned upright if tolerated.
D. Lying flat on the back increases the risk of airway obstruction and aspiration from blood or secretions, making it unsafe post-operatively.

A. Applying diaper cream only at bedtime does not provide adequate protection. Barrier creams (such as zinc oxide or petroleum jelly) should be applied with each diaper change to protect the skin from prolonged contact with urine and stool.
B. Keeping the diaper area moist promotes skin breakdown and increases the risk of fungal and bacterial overgrowth. The goal is to keep the area clean and dry.
C. Changing the diaper every 2 to 3 hours (or sooner if soiled) helps minimize skin exposure to irritants, reducing the likelihood of diaper dermatitis. Frequent changes, along with gentle cleaning and use of barrier ointments, are the most effective preventive strategies.
D. Using scented wipes can irritate the sensitive skin of infants. Unscented wipes or plain water with a soft cloth are preferred.