A nurse is reviewing discharge instructions with the caregiver of a 3-year-old child who underwent nephrectomy for Wilms' tumor. Which statement by the caregiver best demonstrates understanding of the necessary activity precautions to protect the child's remaining kidney?

A. Reassure the child that their parents' divorce is not their fault: Children often internalize blame during parental separation. Addressing this misconception first is the priority because it directly impacts the child’s emotional well-being and sense of security, which forms the foundation for other supportive interventions.

B. Encourage the child to express their feelings and concerns: Encouraging expression of feelings is important, but reassurance that the child is not at fault should come first to reduce guilt and anxiety before further emotional processing.

C. Provide education on age-appropriate coping strategies for children who are experiencing divorce: Teaching coping strategies is beneficial but secondary to establishing the child’s sense of safety and understanding of the situation.

D. Collaborate with both parents to ensure a consistent routine for the child: Maintaining routines supports stability, yet it does not immediately address the child’s potential self-blame, which is the most urgent concern for emotional support.

A. Wipe the genitals from back to front: Wiping from back to front increases the risk of introducing bacteria from the anal area to the urethra, which can contribute to urinary tract infections (UTIs). Caregivers should be instructed to wipe from front to back.

B. Use nylon underwear: Nylon or synthetic underwear can trap moisture and create an environment conducive to bacterial growth, increasing UTI risk. Cotton underwear is recommended for better ventilation and moisture absorption.

C. Encourage frequent trips to the toilet: Encouraging regular urination helps prevent urine stasis in the bladder, reducing the risk of bacterial growth and UTIs. Scheduled toilet trips are particularly important for children with vesicoureteral reflux.

D. Avoid bubble baths: Bubble baths and harsh soaps can irritate the urethra and perineal area, increasing susceptibility to UTIs. Plain water or mild soap is recommended during bathing.

E. Limit fluid intake: Limiting fluids can concentrate urine and reduce the frequency of urination, both of which increase the risk of UTIs. Adequate hydration is essential to flush bacteria from the urinary tract.