A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?

A. Use a 24-gauge catheter to start the IV.A 24-gauge catheter is appropriate for infants due to their smaller veins and the need to minimize trauma. This size allows for adequate fluid and medication administration while reducing the risk of vein damage.

B. Change the IV site every 3 days.IV sites in infants may need to be changed more frequently based on the condition of the site, the type of fluid or medication being administered, and the infant's activity level. The site should be monitored closely for signs of infiltration, phlebitis, or infection, and changed as clinically indicated.

C. Start the IV in the infant's foot.While the foot may be an acceptable site in certain situations, the hands, forearms, or scalp (in younger infants) are often preferred for IV insertion. The foot is less ideal due to the potential for the child to kick or move, increasing the risk of dislodging the IV.

D. Cover the insertion site with an opaque dressing.The insertion site should be covered with a transparent dressing to allow for continuous visualization of the site. This helps in early detection of complications such as infiltration or infection.

When educating the parent of a child with scabies, it's important to provide accurate information about managing the condition and preventing its spread. Among the options provided:

Choice A Reason:

Apply petroleum jelly to the affected areas: Petroleum jelly does not effectively treat scabies. While it might provide some relief from itching, it won't eliminate the mites or their eggs

Choice B Reason:

Treat everyone who came into close contact with the child: This is an essential step in managing scabies. Close contacts, such as family members or others who have spent prolonged periods with the child, should be treated, even if they aren't showing symptoms. Treating everyone helps prevent the spread and recurrence of the infestation.

Choice C Reason:

Soak combs and brushes in boiling water for 10 minutes: While cleanliness is important to prevent the spread of scabies, soaking combs and brushes in boiling water might not effectively kill scabies mites. Scabies mites cannot survive for more than a few days away from human skin, so simply avoiding sharing personal items is usually enough to prevent transmission.

Choice D Reason:

Wash the child's hair with shampoo containing ketoconazole: Scabies mites primarily infest the skin, not the scalp or hair. Using shampoo with ketoconazole is not considered a standard treatment for scabies. Topical medications, such as permethrin or lindane, prescribed by a healthcare provider, are typically used to treat scabies.