A nurse is teaching a parent of a child about the potential risk factors of strabismus. Which of the following statements given by the parent indicates that further teaching is needed?

A. "Skin abrasions cause red blood cells to respond to the area of infiltration and cause inflammation.": Red blood cells are not the primary responders to bacterial invasion; inflammation is mediated mainly by immune cells such as neutrophils and macrophages, not red blood cells.

B. "Skin abrasions facilitate the entry and travel of bacteria to deeper tissue layers.": Breaks in the skin, such as abrasions, compromise the protective barrier and allow bacteria to enter underlying tissues, increasing the risk of cellulitis. Understanding this mechanism reflects effective teaching about infection risk.

C. "Skin abrasions only cause cellulitis when it is deep enough to impact the dermal layer of skin.": Even superficial abrasions can allow bacteria to penetrate and cause cellulitis; depth is not the only determining factor for infection.

D. "Skin abrasions lead to inflammation because of the proliferation of neutrophils.": While neutrophils mediate inflammation once infection occurs, the initial risk stems from bacterial entry through the abrasion rather than neutrophil proliferation alone.

A. "Your child can participate in activities like riding a bike, but they should not participate in sports.": Restricting all sports unnecessarily limits the child’s physical activity and social development when cardiac function is stable after ASD repair.

B. "Your child can participate in team sports as tolerated.": After successful surgical repair and with stable cardiac function, children with repaired ASDs can generally participate in physical activity and team sports according to their tolerance, with monitoring for symptoms such as fatigue or shortness of breath.

C. "Your child cannot participate in any sports.": Complete restriction is not warranted for a child with a repaired ASD who has no residual cardiac issues, and may negatively impact overall health and psychosocial well-being.

D. "Your child can participate in only individual sports, no team sports.": Limiting participation to individual sports is unnecessary if the child has fully recovered and has no exercise restrictions, as team sports can be safely tolerated.