The nurse is planning to teach infant care and preventive measures for sudden infant death syndrome (SIDS) to a group of new parents. Which information is most important for the nurse to include?

Choice A reason: Replacing the IV catheter with a smaller gauge is not an intervention that the nurse should implement, as this does not address the problem of the client picking at the dressing and tape. This is a distractor choice.

Choice B reason: Applying soft bilateral wrist restraints is an intervention that the nurse should implement, as this can prevent the client from harming themselves or dislodging the dressing and IV line. This is a last resort measure that requires a physician's order and close monitoring. Therefore, this is the correct choice.

Choice C reason: Leaving the light on in the room at night is not an intervention that the nurse should implement, as this can disturb the client's sleep and worsen their confusion. This is another distractor choice.

Choice D reason: Redressing the abdominal incision is not an intervention that the nurse should implement, as this does not prevent the client from picking at it again. This is another distractor choice.

Choice A reason: Securing chest tube to the stretcher for transport is a good practice, but it is not the most important action. The chest tube should be secured to prevent accidental dislodgement or kinking, but it does not affect the function of the chest tube or the drainage system.

Choice B reason: Administering PRN pain medication prior to transport is a compassionate action, but it is not the most important action. The client may experience pain due to the chest tube, the intubation, or the underlying condition, but pain relief is not a priority over maintaining adequate ventilation and drainage.

Choice C reason: Marking the amount of chest drainage on the container is a useful action, but it is not the most important action. The amount of chest drainage should be recorded and reported to monitor the client's status and detect any complications, such as hemorrhage or infection, but it does not affect the immediate function of the chest tube or the drainage system.

Choice D reason: Keeping chest tube container below the site of insertion is the most important action for the nurse to take. The chest tube container should be kept below the level of the client's chest to maintain a gravity-dependent pressure gradient that allows air and fluid to drain from the pleural space. If the container is raised above the site of insertion, it can cause backflow of air or fluid into the pleural space, which can compromise ventilation and cause tension pneumothorax.