A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?

Choice A reason:

Oliguria is incorrect. Low potassium levels (hypokalemia) may lead to decreased kidney function and reduced urine output (oliguria) in severe cases. However, at this potassium level, oliguria might not be the immediate or most prominent finding.

Choice B Reason:

Hyperactive bowel sounds are incorrect. Gastroenteritis typically presents with increased bowel sounds due to gastrointestinal irritation or inflammation. Potassium levels might not directly influence bowel sounds, so hyperactive bowel sounds might not be specifically related to the potassium level.

Choice C Reason:

Hyporeflexia is correct. Hypokalemia, indicated by a low potassium level, can affect nerve conduction and muscular function, potentially leading to hyporeflexia (reduced reflexes) as one of its manifestations. This can be a relevant finding associated with low potassium levels.

Choice D Reason:

Hypertension is incorrect. Hypokalemia is more commonly associated with hypotension (low blood pressure) rather than hypertension (high blood pressure). Therefore, hypertension is less likely to be an expected finding related to low potassium levels.

Choice A Reason:

"Let me know when you want to take the medication.": This statement offers the child autonomy and control over the situation, allowing them to feel empowered to decide when to take the medication.

Choice B Reason:

"The medication isn't bad. It tastes like candy.": This statement might be misleading, as medications often don't taste like candy. It's important to maintain honesty with children about the taste of medication to build trust.

Choice C Reason:

"The medication will treat your hypersensitivity reaction.": While it's important to explain the purpose of the medication, this statement might not resonate well with a preschooler. Using simpler language and a more relatable explanation might be more effective.

Choice D Reason:

"Sometimes, when a child has to take medication, they feel sad.": This statement acknowledges the child's feelings, but it might inadvertently suggest negative emotions associated with taking medication. Instead, it's often better to use positive and reassuring language.