A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching?

Each statement provides valuable information about the child's behavior or physical condition.

A. "Sometimes my child acts bossy with his friends.": This statement indicates a behavioral characteristic of the child that may be typical for a 6-year-old. While it's essential for the child to learn appropriate social behaviors, occasional bossiness is not unusual at this age and may reflect normal developmental stages.
B. "My child often cheats when we play board games.": While honesty is important, cheating during games is a behavior that some children may exhibit during certain developmental stages. It can provide insight into the child's understanding of rules and social interactions but may not necessarily be a cause for significant concern.
C. "The teacher says my child has to squint to see the board.": This statement raises concern about the child's vision and suggests potential visual impairment or difficulty seeing distant objects clearly. Squinting to see the board could indicate nearsightedness or other vision problems that may require further assessment and intervention by an eye care professional.
D. "My child has recently lost both front top teeth.": Losing baby teeth is a normal developmental milestone for children around the age of 6. It typically indicates the natural process of permanent teeth erupting, and it's not typically a cause for concern unless there are complications or abnormalities associated with tooth loss.

A. Delayed gastric emptying is not associated with decreased breath sounds in the lower lobes of the lungs. It is more commonly associated with gastrointestinal symptoms such as bloating and nausea.
B. While pulmonary edema can cause respiratory symptoms, such as crackles and wheezes, decreased breath sounds in the lower lobes are not typically indicative of pulmonary edema. Pulmonary edema is more commonly associated with fluid accumulation in the lungs, leading to crackles and other signs of fluid overload.
C. An upper respiratory infection primarily affects the upper airways, such as the nose and throat, and typically presents with symptoms such as nasal congestion, sore throat, and cough. It is not typically associated with decreased breath sounds in the lower lobes of the lungs.
D. Atelectasis refers to the collapse or closure of a part of the lung, leading to decreased air entry and breath sounds in the affected area. In a client who has been on bedrest for several days, atelectasis can occur due to reduced lung expansion and ventilation. Decreased breath sounds in the lower lobes are a common finding in atelectasis, especially when the condition affects the bases of the lungs, as gravitational forces can exacerbate the collapse of lung tissue in dependent areas. Therefore, this finding is most consistent with atelectasis.