A nurse is reinforcing teaching about the nutritional needs of preschoolers with a group of parents. Which of the following foods should the nurse recommend as a source of complete protein?

A. Applying cushioning to the edge of the cast using adhesive tape is incorrect. While padding the edges of the cast can prevent skin irritation, it is not the priority in the first few hours after application. Circulatory status must be assessed first.

B. Using a fan to circulate air around the cast is incorrect. Although plaster casts generate heat as they dry and can be uncomfortable, using a fan is not a priority over assessing circulation and neurovascular function.

C. Repositioning the toddler every 2 hours is important to prevent pressure ulcers and discomfort but is not the immediate priority. Ensuring adequate circulation to the extremities takes precedence.

D. Checking the color and temperature of the toddler's toes is correct. A spica cast can impair circulation, leading to complications such as compartment syndrome. Assessing the color and temperature of the toes helps determine if blood flow is adequate. Pale, cool toes could indicate compromised circulation, requiring immediate intervention.

A. Encourage the parent to discuss the diagnosis with the adolescent immediately: While open communication is important, it is not always appropriate to encourage an immediate discussion, especially if the parent is struggling emotionally. The nurse should support the parent first in managing their emotions and in preparing for a discussion with the adolescent when the time is right.

B. Support the parent in expressing their concerns about the diagnosis and provide emotional support: The nurse should recognize the emotional difficulty the parent is experiencing and offer support. This includes helping the parent explore how to communicate difficult news to their child in an appropriate manner, providing counseling, and ensuring they have the resources to cope with the situation.

C. Inform the adolescent about the metastasis of cancer directly without the parent’s involvement: This option would not respect the parent’s role in communication and may cause unnecessary distress. It is important to involve the parent in the conversation, as they are likely the primary support for the adolescent and may need guidance on how to handle the situation.

D. Suggest to the parent to delay the conversation until the adolescent is physically stable: While not ideal, delaying the conversation until the adolescent is in a more stable emotional or physical state may be beneficial. The nurse can help guide the parent through the decision-making process and assist in determining the best timing for this sensitive discussion, emphasizing the need for a compassionate and supportive approach.