A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply)

Choice A reason:

The statement “I might experience harmless white patches in my mouth” could indicate the presence of oral thrush, a common fungal infection in immunocompromised individuals. However, this statement does not directly reflect an understanding of preventive measures or home care instructions for someone with immunodeficiency.

Choice B reason:

Expecting to have a mild, occasional fever is not a typical understanding of immunodeficiency care. While fevers can occur, they should not be considered normal or expected. Any fever in an immunocompromised person should be promptly evaluated by a healthcare provider as it could indicate an infection.

Choice C reason:

Avoiding people who have just received a live vaccine is a crucial preventive measure for individuals with immunodeficiency. Live vaccines contain a weakened form of the virus or bacteria, which can pose a risk to immunocompromised individuals. This statement shows an understanding of the need to avoid potential sources of infection.

Choice D reason:

Limiting the use of skin cream to once a week is not a standard recommendation for immunodeficiency care. Skin care is important, but the frequency of using skin cream should be based on individual needs and the type of cream used. This statement does not reflect a specific understanding of immunodeficiency management.

Choice A reason: Client reports knee pain changed from 4/10 to 6/10 is an important finding, but it is not as critical as a significant drop in blood pressure. Pain levels can fluctuate postoperatively, and while increased pain should be addressed, it does not typically require immediate notification of the provider unless it is severe or unmanageable.

Choice B reason: Pulse oximetry changed from 98% to 96% is a minor change and still within normal limits. A pulse oximetry reading of 96% is generally acceptable and does not indicate a critical issue that requires immediate provider notification.

Choice C reason: Temperature changed from 37.2°C (99.0°F) to 37.5°C (99.5°F) is a slight increase and still within the normal range. Postoperative patients can experience minor fluctuations in temperature, and this change does not typically indicate a serious problem.

Choice D reason: Systolic blood pressure changed from 140 mm Hg to 110 mm Hg is a significant drop and could indicate hypotension, which can be a serious complication, especially in an older adult post-surgery. Hypotension can result from various causes, including blood loss, dehydration, or effects of anesthesia, and requires prompt assessment and intervention.