The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

Choice A reason: Saying the flowers aren’t alive and removing them avoids the child’s question, missing a chance to discuss death. Asking about dying opens dialogue, making this evasive and incorrect compared to the nurse’s opportunity to engage the dying child in a meaningful conversation.

Choice B reason: Acknowledging the flowers’ death and asking what dying is like invites the child to share thoughts, facilitating discussion about their own mortality. This aligns with pediatric palliative care communication, making it the most appropriate response to encourage the child to open up about dying.

Choice C reason: Calling the flowers uncheerful and removing them dismisses the child’s observation, closing off discussion about death. Asking about dying fosters dialogue, making this superficial and incorrect compared to the nurse’s role in supporting the dying child’s emotional expression and exploration.

Choice D reason: Offering to trash the flowers ignores the child’s reference to death, missing a chance to explore their thoughts. Asking about dying encourages openness, making this abrupt and incorrect compared to the nurse’s opportunity to facilitate a conversation about death with the child.

Choice A reason: Urination frequency varies individually, not by gender, and isn’t a primary UTI risk factor. The shorter female urethra explains higher UTI rates, making this inaccurate and incorrect compared to the anatomical reason for the daughter’s recurrent infections in the 5-year-old twins.

Choice B reason: Assuming poor hygiene without evidence is speculative and less relevant than anatomical differences. The shorter urethra is the primary UTI risk in girls, making this blaming and incorrect compared to explaining the biological factor contributing to the daughter’s infections in the teaching.

Choice C reason: Vitamin C may support urinary health but isn’t gender-specific or a primary UTI cause. The shorter female urethra directly increases contamination risk, making this irrelevant and incorrect compared to the anatomical explanation for the daughter’s recurrent UTIs in the caregiver’s twins.

Choice D reason: Girls’ shorter, straighter urethras allow easier bacterial access to the bladder, explaining higher UTI rates compared to boys. This anatomical fact aligns with pediatric urology evidence, making it the accurate statement to clarify the daughter’s recurrent infections for the caregiver of the twins.