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Bedrest is no longer recommended. Children should rest as needed but can gradually resume normal activities once fatigue improves. Strict bedrest is unnecessary. However, the nurse should encourage the affected individual to curtail activities that are strenuous until splenomegaly is resolved.

Clear liquids are not required unless the child has severe sore throat or swallowing difficulties. A soft diet with adequate hydration is encouraged.

Limited daily fluid intake is incorrect. Fluids should actually be encouraged to prevent dehydration and support recovery.

“You may not be physically active for 2 to 3 months.” This is too restrictive and not evidence-based. Activity can be resumed once cleared by the provider.

“You may be as active as you wish as long as you are not feeling fatigued.” This is incorrect, because splenic rupture risk exists even if the student feels well.

“There are no limitations on activity with this diagnosis.” This is dangerous misinformation since it ignores the risk of splenic rupture.

Although a 3-year-old who is undergoing chemotherapy is high-risk, live vaccines are contraindicated in immunocompromised children. They benefit from herd immunity, but the child themselves may not safely receive the vaccine depending on their regimen.

A healthy 7-year-old who attends public school should receive the vaccine, but this age group is not the highest priority compared to infants.

An 18-year-old in a college dormitory is at increased risk due to close living quarters, but the risk of severe complications is lower than in infants.

Twenty-four hours after onset is incorrect since people are already infectious before symptoms appear, so this underestimates risk.

One week after onset is incorrect. Infectivity usually decreases well before this point, though children may shed virus longer.

One week before onset is incorrect since the virus does not spread this far in advance; incubation is usually 1–4 days.

“We are giving your child intravenous fluids, so there is no need for anything by mouth.” This is true about hydration, but it does not address the safety concern (aspiration risk), so it’s incomplete and not the best explanation.

“When your child eats, he burns too many calories; we want to conserve the child’s energy.” While conserving energy is important, this is not the main reason for NPO status in respiratory distress.

“Your child has too much nasal congestion; if we feed the child by mouth, the distress will likely increase.” Congestion can increase feeding difficulty, but the key issue is airway protection and aspiration risk, not just distress.