A nurse is teaching an adolescent how to use a peak expiratory flow meter (PEFM). The nurse should identify that which of the following statements by the child indicates an understanding of the teaching?

A. Maintain NPO status. The child is at risk for surgery, and maintaining NPO status reduces the risk of aspiration.
B. Administer an antipyretic. Reducing fever can improve comfort and decrease metabolic demand.
C. Initiate an infusion of IV fluids. IV fluids prevent dehydration, especially since the child has had poor oral intake and diarrhea.
D. Administer a cleansing enema. An enema is contraindicated as it may worsen abdominal inflammation or cause perforation.
E. Prepare child and parents for ostomy placement. While surgery may be needed, an ostomy is not always required for appendicitis.
F. Educate child and parents about plan of care. Providing education helps reduce anxiety and ensures understanding of the interventions.
G. Administer an analgesic. Pain management is essential for comfort and reduces physiologic stress.
H. Administer antibiotics. Antibiotics are started preoperatively to manage infection or prevent complications if perforation is suspected.

A. A 15-year-old client who requires an open reduction of a fracture. Minors generally require parental or guardian consent for surgical procedures unless emancipated.
B. While an infant cannot consent, IV antibiotics are considered a routine medical treatment. General consent for treatment is usually signed upon admission to the hospital, which covers standard nursing interventions like starting an IV or administering prescribed medications. Specific informed consent forms are typically reserved for higher-risk procedures (surgeries, blood transfusions, etc.).
C. In most jurisdictions, minors can provide their own consent for medically emancipatedconditions. These typically include prenatal care, contraception, testing and treatment for STIs, and substance abuse treatment. The nurse would not need to obtain consent from a guardian in this specific context to protect the minor's privacy and access to care.

D. A chest x-ray is a non-invasive diagnostic procedure. Similar to the administration of medications, these are covered under the general consent for treatment signed at the time of admission. They do not require a separate, formal informed consent document for each individual imaging study.