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 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.

Choice A reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent vaso-occlusive crises, which are episodes of severe pain caused by blocked blood vessels due to sickled red blood cells.

Choice B reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent hemolytic crises, which are episodes of rapid red blood cell destruction due to dehydration or infection.

Choice C reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent megaloblastic anemia, which is a type of anemia caused by folic acid deficiency due to increased red blood cell production.

Choice D reason: This instruction is the most important for the nurse to give to the child and family, as it helps prevent sequestration crises, which are episodes of life-threatening organ damage caused by pooling of blood in the spleen or liver due to sickled red blood cells.