A nurse is reinforcing preoperative teaching with an adolescent client who is scheduled for a surgical repair of scoliosis. Which of the following statements by the client indicates effectiveness of the teaching?

Rationale:

A. Monitoring capillary refill of the casted extremity is crucial for assessing circulation and ensuring there are no complications such as compartment syndrome.

B. While supporting the cast correctly is important, it is not the priority immediately following the application.

C. Examining the skin at the cast edges is important, but it is not the priority immediately following the application.

D. Instructing the child not to put anything inside the cast is important, but it is not the priority immediately following the application.

Rationale:

A) Watching cartoons with peers may increase the risk of transmitting varicella- zoster virus to other children who may not be immune, as well as expose the child to potential infections from other sick children.

B) Pulling a wagon of stuffed animals in the hallway is too strenuous for a child with pneumonia.

C) Writing a letter to send to a friend may be an appropriate activity for a child with pneumonia, but it involves sitting still for an extended period, which may not be as beneficial as a more physically engaging activity.

D) Playing an alphabet flashcard game with the parent is appropriate for a 4-year-old child's cognitive development and does not require physical exertion or exposure to other children who might be susceptible to varicella zoster infection.