A nurse is discharging a 5-year-old child who has diabetes mellitus from a pediatric unit. Which of the following statements by the parent indicates a need for further teaching?

Choice A reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the transfer form.

Choice B reason: This information is the most important for the nurse to communicate during the handoff report, as it reflects the current clinical status and stability of the child. It may also indicate any changes or interventions that are needed in the ICU.

Choice C reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the medication administration record.

Choice D reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be more relevant for the psychosocial assessment and support of the child and family in the ICU.

Choice A reason: This statement by the child would indicate that he or she does not understand the discharge instructions, as it may be too soon to resume normal activities and socialization. The child may need to rest and recover for a few days or weeks, depending on the healing process and the physician's advice.

Choice B reason: This statement by the child would indicate that he or she understands the discharge instructions, as it shows compliance with the prescribed medication regimen. The child may need to take antibiotics or pain relievers to prevent infection or manage pain.

Choice C reason: This statement by the child would indicate that he or she does not understand the discharge instructions, as it may not reflect the dietary restrictions or recommendations after an appendectomy. The child may need to avoid spicy, fatty, or high-fiber foods and drink plenty of fluids to promote bowel function and healing.

Choice D reason: This statement by the child would indicate that he or she does not understand the discharge instructions, as it may not reflect the wound care or dressing changes after an appendectomy. The child may need to keep the incision site clean and dry, change the bandage as instructed, and report any signs of infection or bleeding.