A school nurse is discussing the impact of media on adolescents' perception of health issues with the members of a school board. Which of the following statements should the nurse make?

A. The child has an excessive appetite and is at risk for obesity: Prader-Willi syndrome is characterized by hypothalamic dysfunction leading to hyperphagia and impaired satiety. Children develop an intense, persistent appetite that significantly increases the risk for obesity and related metabolic complications. Strict dietary supervision is a central component of management.

B. The child exhibits advanced motor and language skills for their age: Children with Prader-Willi syndrome typically demonstrate developmental delays, including delayed motor milestones and speech development. Hypotonia and cognitive impairment contribute to slower skill acquisition rather than advanced abilities. This finding is inconsistent with the syndrome’s neurologic profile.

C. The child demonstrates a high level of energy and requires minimal sleep: Prader-Willi syndrome is associated with low energy levels, reduced stamina, and sleep disturbances such as excessive daytime sleepiness or sleep apnea. Increased energy and reduced sleep needs are not typical features. Fatigue is more commonly observed.

D. The child has a markedly increased muscle tone and strength: Hypotonia is a hallmark feature of Prader-Willi syndrome, particularly in infancy and early childhood. Decreased muscle tone contributes to feeding difficulties early in life and delayed motor development. Increased tone and strength do not align with the underlying neuromuscular findings.

A. Apply cool water to the burn for up to 15 minutes, clean gently with mild soap daily, and manage pain with over-the-counter medications: For a superficial partial-thickness burn, immediate first aid with cool water reduces pain and limits tissue damage. Gentle daily cleansing and appropriate analgesia support healing and comfort.

B. Immediately administer IV fluids to prevent hypovolemia and monitor urine output: IV fluid resuscitation is necessary for extensive burns covering a significant body surface area, not for a minor superficial partial-thickness burn. Overhydration for a small burn is unnecessary and may cause complications.

C. Encourage sun exposure to the burn area to promote vitamin D synthesis and healing: Sun exposure can damage healing skin, increase the risk of scarring, and is contraindicated during acute burn recovery. Protection from ultraviolet light is recommended until the skin fully heals.

D. Prevent infection by keeping the burn clean and covered with a dry sterile dressing: While infection prevention is important, dry sterile dressings are typically used for deeper burns. Superficial partial-thickness burns benefit from gentle cleansing and sometimes moist or emollient dressings to promote epithelialization rather than solely dry coverage.