A nurse in the emergency department is caring for a child who has a temperature of 39.1° C (102.4° F) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?

Choice A Reason:

"We will apply lotion to the skin under the straps." Applying lotion under the straps might create moisture, interfere with the harness's function, or cause skin irritation. It's generally recommended to avoid lotions or creams under the straps.

Choice B Reason:

"We should expect our baby to wear this harness for 2 weeks." The duration for wearing a Pavlik harness can vary significantly depending on the severity of the hip dysplasia and the infant's response to treatment. The duration is determined by the healthcare provider's assessment and may extend beyond 2 weeks.

Choice C Reason:

"We will place the diaper under the straps." Placing the diaper under the straps helps prevent skin irritation and chafing caused by the straps rubbing against the skin. It ensures that the skin remains protected and reduces the risk of skin breakdown or discomfort for the infant.Pavlik harnesses are typically designed to keep the hips in a specific position, and diapers should be placed underneath to avoid leaks soiling the harness

Choice D Reason:

"We should adjust the straps daily." Adjusting the straps of a Pavlik harness should only be done by a healthcare professional to ensure proper positioning and safety.

Choice A Reason:

"Your child should ride the bicycle against the flow of traffic." This instruction is incorrect. Children should ride their bicycles in the same direction as traffic flow to reduce the risk of accidents.

Choice B Reason:

This instruction emphasizes the importance of caution and attentiveness when crossing intersections. Walking the bicycle through intersections allows the child to have better control and visibility, reducing the risk of collisions with vehicles or other cyclists. It also ensures that the child can more easily observe traffic signals and pedestrian crossings. Therefore, this instruction promotes safe behavior and helps prevent accidents at intersection

Choice C Reason:

"Your child should keep the bicycle at least 3 feet from the curb while riding in the street." This instruction is a good guideline. Riding a safe distance away from the curb can help avoid obstacles and allow for better maneuverability.eeping the bicycle at least 3 feet from the curb allows for a buffer zone between the cyclist and potential hazards such as parked cars, debris, or opening car doors. It also increases visibility to motorists and reduces the risk of being struck by a car or encountering obstacles in the roadway.

Choice D Reason:

"Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle." This instruction isn't related to safety but rather to the appropriate seat height adjustment for comfortable and efficient cycling. It might not be a primary safety concern.

Both instructions contribute to overall bicycle safety, but if we have to choose one, "B.Your child should walk the bicycle through intersections" is crucial because intersections are high-risk areas where accidents are more likely to occur. Therefore, this instruction should be prioritized in the teaching.