A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse Include?

A. "Administer the medication early in the day.": Furosemide is a loop diuretic that increases urine output. Giving it early in the day helps prevent nocturia and sleep disturbances, ensuring the child remains well-rested while still receiving the therapeutic effect of fluid removal.

B. "Restrict foods that are high in potassium in your child's diet.": Furosemide can cause potassium loss, so the child’s diet should include potassium-rich foods rather than restrict them. Adequate potassium intake helps prevent hypokalemia, which can cause muscle weakness, arrhythmias, and other complications.

C. "Anticipate that your child will gain weight rapidly while taking this medication.": Furosemide typically reduces fluid retention, which may lead to weight loss or stabilization, not rapid weight gain. Rapid weight gain would indicate fluid accumulation or worsening heart failure, requiring further evaluation.

D. "Expect your child's urine to appear concentrated and dark yellow.": Furosemide increases urine output and dilutes the urine. Urine is more likely to be pale or clear rather than concentrated and dark yellow unless the child is dehydrated or not adequately hydrated.

A. Report the location of the fire: Notifying appropriate personnel or the fire alarm system is important for mobilizing help and initiating emergency response. However, it is not the first action because immediate threats to client safety must be addressed before communication.

B. Protect clients from immediate injury: The priority in any fire situation is the safety of clients and staff. Removing clients from immediate danger or shielding them from harm takes precedence over reporting, containing, or extinguishing the fire. This aligns with the first step of the RACE protocol (Rescue) in fire safety.

C. Contain the fire to one area: Containing the fire by closing doors and windows is critical to prevent spread, but it follows after ensuring that clients and staff are safe from immediate harm. Containment cannot protect individuals already in danger.

D. Extinguish the fire if possible: Extinguishing a fire is part of the RACE protocol, but attempting to put out a fire is secondary to rescuing individuals at risk. Only small, controllable fires should be attempted after ensuring safety of clients and staff.