A nurse is teaching the parent of a newborn who underwent a circumcision using the Gomco method.
Which of the following statements by the parent indicates an understanding of the teaching?

Choice A rationale

Sitting in chairs with low, soft backs can worsen osteoarthritis symptoms and increase joint stress. Low chairs require more force from the hips and knees to stand up, which can strain these joints. Soft backs provide inadequate support, leading to poor posture and increased stress on the spine and other joints. Proper joint protection involves maintaining good posture and minimizing strain on affected joints.

Choice B rationale

Using both hands to hold objects distributes the weight and stress evenly across multiple joints, such as those in both wrists and hands, thereby reducing the workload on any single joint. This technique minimizes the risk of joint deformation and pain associated with osteoarthritis by preventing excessive force from being applied to a single joint, a key principle of joint protection.

Choice C rationale

Pushing up from a bed with fingers puts a concentrated, high-impact force on the small joints of the fingers, which are often affected by osteoarthritis. This action can lead to pain, inflammation, and potential deformity over time. Instead, individuals should use their palms or forearms to push up, distributing the force over a larger, stronger surface area.

Choice D rationale

Turning doorknobs clockwise or in any specific direction with a forceful grip can exacerbate joint pain and strain in the fingers and wrist. This motion places significant torque on the affected joints. To protect joints, clients should be advised to use lever-style doorknobs or adaptive devices that require less grip strength and a different motion. *.

Choice A rationale

The herpes zoster vaccine, also known as the shingles vaccine, is specifically recommended for older adults. The incidence and severity of shingles, which is caused by the reactivation of the varicella-zoster virus, increase significantly with age, particularly after 50 years. The vaccine works by boosting the immune response to the virus, thereby reducing the risk of developing shingles and the associated long-term neuropathic pain.

Choice B rationale

The human papillomavirus (HPV) vaccine is recommended for individuals up to age 26, with a primary target age of 11 or 12. It is not typically recommended for older adults because most have already been exposed to the virus, and the vaccine is most effective before sexual activity begins. The immune response in older adults is also less robust than in younger individuals, making the vaccine less effective in this population.

Choice C rationale

The rotavirus vaccine is recommended for infants and young children, usually in a series of doses starting at 2 months of age. Rotavirus is a common cause of severe diarrhea in infants and young children, but it does not pose a significant health threat to older adults. The vaccine is not indicated for older adults because they have usually developed immunity from previous exposures to the virus.

Choice D rationale

Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine is primarily given to infants and young children in a series of doses. For older adults, the Tdap or Td booster is recommended. The Tdap vaccine provides protection against tetanus, diphtheria, and pertussis, which is important for older adults as their immunity wanes over time. However, the DTaP formulation is not the one typically recommended for this age group. .