A nurse is reinforcing teaching about disease management with the parent of a school-age child who has ADHD. Which of the following information should the nurse include? (Select all that apply.)

A. Prolonged crying: Prolonged crying can occur after an immunization, especially in infants, but it is generally not an immediate cause for concern unless accompanied by other symptoms such as difficulty breathing or skin changes.
B. Temperature 37.7° C (99.9° F): A mild fever is a common side effect after immunizations and is usually not a cause for immediate concern. A temperature of 37.7°C (99.9°F) is within a normal range and typically resolves on its own.
C. Hives on the child's neck: Hives (urticaria) can indicate an allergic reaction, which could potentially be a serious response to the immunization. An allergic reaction requires immediate attention and intervention, as it may progress to more severe symptoms such as difficulty breathing or anaphylaxis.
D. Redness at the injection site: Redness at the injection site is a common and expected reaction following an immunization. It is generally not a cause for concern unless it is accompanied by severe swelling, pain, or other signs of infection.

A. “I will monitor the circulation in my baby's toes.” It is important to monitor the circulation in the toes of a child with serial casts, as the cast could cause pressure and affect blood flow. Checking for signs of poor circulation, such as color changes, temperature changes, or swelling, is crucial to ensure the cast is not too tight.

B. “I will give my baby ibuprofen for excessive crying.” Ibuprofen is not recommended for infants under 6 months of age, excessive crying should be evaluated to determine its cause. Administering ibuprofen without understanding the underlying issue could be inappropriate.

C. “My baby will need a calcium supplement with feedings.” Calcium supplements are not required for infants with clubfoot unless there is a specific indication, such as a dietary deficiency or underlying condition. Calcium is usually obtained through breast milk or formula.

D. “My baby will need to wear the casts for 4 to 6 months.” Serial casting for clubfoot treatment typically lasts longer than 4 to 6 months, depending on the severity of the condition and the child's response to treatment.