A nurse is reinforcing teaching with the guardian of a newborn about measures that can be taken to minimize the risk of sudden unexpected infant death (SUID). Which of the following instructions should the nurse include in the teaching?

Rationale:

A. "I should do aerobic exercises once per day.": While exercise is beneficial for clients with COPD, it should be individualized and not necessarily done daily, especially in the beginning. Overexertion can worsen symptoms, so gradual and well-monitored activity is recommended.

B. "I will increase my fluid intake to 1,700 milliliters per day.": Clients with COPD are typically encouraged to consume 2,000 to 2,500 mL of fluids daily unless contraindicated. Higher fluid intake helps thin secretions, making them easier to expectorate and improving airway clearance.

C. "I should practice pursed-lip breathing exercises.": Pursed-lip breathing improves ventilation by keeping airways open longer during exhalation, reducing air trapping and dyspnea. It is a fundamental breathing technique taught to clients with COPD to improve oxygenation and control shortness of breath.

D. "I will consume low-protein, low-calorie foods.": Clients with COPD often have increased energy demands due to the work of breathing. A high-protein, high-calorie diet is typically recommended to prevent muscle wasting and support respiratory muscle strength.

Rationale:

A. “Provide homeschooling for your child.” Most children with cystic fibrosis can attend school with proper care and infection control practices in place. Encouraging normal socialization and routine helps support emotional and developmental health.

B. "Ensure that your child does not receive the influenza vaccine annually”: Annual influenza vaccination is strongly recommended for children with cystic fibrosis due to their higher risk of respiratory infections and complications. Avoiding the vaccine puts the child at greater risk.

C. "Do not include your child when making decisions about treatment.” School-age children benefit from age-appropriate involvement in their care, which promotes cooperation, reduces anxiety, and builds a sense of control and responsibility over their health.

D. "Have your child wear a medical identification wristband.” Wearing a medical ID helps ensure that in emergencies, responders are aware of the child's condition and can provide appropriate, timely care. This is a safety measure recommended for children with chronic health conditions.