The nurse is planning care for an infant after a cleft-lip repair. Which of the following is NOT an appropriate nursing intervention for this infant?

Choice A reason: School-age children, typically between the ages of 6 and 12, begin to understand the finality of death. They can grasp that death is irreversible and permanent, affecting all living beings.

Choice B reason: Preschool-age children often perceive death as a temporary or reversible state. They may not fully comprehend its permanence until they are older.

Choice C reason: Toddlers are too young to understand complex concepts like the permanence of death. Their cognitive development at this stage is focused on more concrete and immediate experiences.

Choice D reason: By adolescence, individuals have a clear understanding of the permanence of death, but this awareness typically develops during the school-age years. Adolescents may explore more complex ideas about life and death, but the basic understanding of permanence is already established.

Choice A reason: IV fluid replacement in DKA is typically isotonic, not hypertonic, to avoid rapid changes in osmolality.
Choice B reason: While monitoring for cardiac arrest is important, it is not the primary intervention; DKA often presents with low potassium levels that rise with treatment.
Choice C reason: Monitoring for hypertension is important, but the primary concern in DKA is managing the acidosis and hyperglycemia.
Choice D reason: This is the correct choice. Administering insulin is a key component of treating DKA to reduce blood glucose levels and reverse ketosis. NPH insulin is not typically used in the initial management of DKA; rapid-acting insulin is preferred. However, if NPH is mentioned in the context provided, it would be important to clarify the treatment protocol.