Parents of a school-age child with hemophilia ask the nurse, "Which sports are recommended for children with hemophilia?" Which sport should the nurse recommend?

Choice A rationale:
Cough. While a cough can be a side effect of inhaled steroids, it is not a significant concern compared to other potential risks. Long-term use of inhaled steroids can lead to slowed growth in children, making choice C the correct answer.
Choice B rationale:
Osteoporosis. Osteoporosis is a potential side effect of long-term use of inhaled steroids. These medications can affect bone density and increase the risk of osteoporosis, especially in individuals who are already at risk due to other factors such as age, gender, or family history.
Choice C rationale:
Slowed growth. Long-term use of inhaled steroids can lead to slowed growth in children. It's important for healthcare providers to monitor the growth of children with asthma who are taking these medications regularly. If slowed growth is observed, healthcare providers might consider adjusting the treatment plan.
Choice D rationale:
Cushing's syndrome. Cushing's syndrome is a rare but serious side effect of long-term steroid use. It is characterized by a collection of signs and symptoms caused by prolonged exposure to high levels of cortisol (a steroid hormone). While it's a potential risk, slowed growth is a more common concern in children taking long-term inhaled steroids.

The correct answer is choiceD. Give small amounts of favorite fluids frequently to prevent dehydration.

Choice A rationale:

Giving tepid water baths to reduce fever is not the most effective intervention for an infant with an upper respiratory tract infection and elevated temperature. While tepid baths can help lower body temperature, they are not as effective as antipyretic medications like acetaminophen or ibuprofen.Additionally, frequent fluid intake is more critical to prevent dehydration, which is a common concern in infants with fever.

Choice B rationale:

Encouraging food intake to maintain caloric needs is important, but it is not the primary concern in this scenario. Infants with upper respiratory infections often have reduced appetites due to congestion and discomfort.Ensuring adequate fluid intake is more crucial to prevent dehydration, which can occur quickly in infants.

Choice C rationale:

Having the child wear heavy clothing to prevent chilling is not recommended. Overdressing can actually increase body temperature and discomfort.It is better to dress the infant in lightweight clothing and use a light blanket if needed to keep them comfortable while allowing their body to regulate temperature more effectively.

Choice D rationale:

Giving small amounts of favorite fluids frequently to prevent dehydration is the most appropriate intervention. Infants with upper respiratory infections and fever are at risk of dehydration due to increased fluid loss from fever and reduced fluid intake.Offering small, frequent amounts of fluids helps maintain hydration and can also soothe the throat and reduce discomfort.