A nurse is caring for a child who is postoperative following surgical correction of Tetralogy of Fallot. Which of the following findings should the nurse identify as an indication of heart failure?

Choice A reason: Avoiding raw fruits and vegetables is crucial for a child with neutropenia because these foods can harbor bacteria that may cause infection in a child with a weakened immune system. It is important to minimize the risk of infection by providing a diet that includes cooked or thoroughly washed fruits and vegetables.

Choice B reason: Administering vaccines prior to discharge may not be appropriate for a child with neutropenia, as live vaccines are contraindicated due to the risk of infection. Vaccination should be deferred until the child's immune system has recovered.

Choice C reason: Obtaining the child's rectal temperature once daily is not recommended for a child with neutropenia due to the risk of introducing bacteria into the body, which can lead to infection.

Choice D reason: Bathing the child every other day does not directly relate to the care of neutropenia. While personal hygiene is important, the frequency of bathing should be based on the child's needs and condition.

Choice A reason: Soaking hairbrushes in boiling water is a good practice for decontamination, but it is not specific to the treatment of impetigo, which is a bacterial skin infection.

Choice B reason: Acyclovir is an antiviral medication and would not be effective against impetigo, which is caused by bacteria, typically Staphylococcus aureus or Streptococcus pyogenes.

Choice C reason: Sealing soft toys in a plastic bag for 14 days may help to prevent the spread of infection, but it is not a direct treatment for impetigo itself.

Choice D reason: Applying a bactericidal ointment, such as mupirocin, is a standard treatment for impetigo. It helps to eliminate the bacteria causing the infection and promotes healing of the skin lesions.