Parents of a school-age child with hemophilia ask the nurse, "Which sports are recommended for children with hemophilia?" Which sport should the nurse recommend?

Choice A rationale:

Some form of cancer. Rationale: Tender, enlarged, and warm cervical lymph nodes are indicative of infection or inflammation close to the site. Cancerous lymph nodes are usually painless and firm. In this case, the symptoms suggest an active immune response to infection or inflammation in proximity to the palpated lymph nodes.

Choice B rationale:

Local scalp infection common in children. Rationale: Local scalp infection, while possible, typically does not cause tender, enlarged, and warm cervical lymph nodes. These symptoms are more consistent with an active immune response to infection or inflammation in the area near the lymph nodes.

Choice C rationale:

Infection or inflammation distal to the site. Rationale: Symptoms such as tenderness, enlargement, and warmth in cervical lymph nodes indicate a local response to infection or inflammation close to the site. "Distal" refers to a location away from the affected area, making this choice inappropriate for the described symptoms.

Choice D rationale:

Infection or inflammation close to the site. Rationale: Tender, enlarged, and warm cervical lymph nodes suggest an active immune response to infection or inflammation in the vicinity. These symptoms are signs of localized inflammation and are commonly seen in conditions such as tonsillitis, pharyngitis, or other upper respiratory infections.

Choice A rationale:
Adjusting the insulin dosage without proper medical guidance can be dangerous for a child with diabetes. Giving half the regular morning dose without considering the child's current blood glucose levels can lead to hypoglycemia, a potentially life-threatening condition. This choice is unsafe and incorrect.
Choice B rationale:
Substituting simple carbohydrates or calorie-containing liquids for solid foods might help maintain the child's blood glucose levels to some extent. However, it's crucial to ensure that the child's overall nutritional needs are met. In cases of illness, monitoring blood glucose levels and consulting with a healthcare provider are essential. This choice, while not the best option, could be a temporary measure if the child is not eating solid foods due to illness.
Choice C rationale:
Giving the child plenty of unsweetened, clear liquids is the most appropriate choice. This helps prevent dehydration, a common concern when a child is not eating or drinking adequately due to illness. Clear liquids, such as water, clear broths, or oral rehydration solutions, can help maintain hydration and provide some electrolytes. It's essential for parents to monitor the child's condition closely and seek medical advice if the child's condition worsens.
Choice D rationale:
Taking the child directly to the emergency department is not necessary if the child is only experiencing a minor illness and is not eating. However, if the child shows signs of severe dehydration, persistent vomiting, or other concerning symptoms, seeking medical attention promptly is crucial. In the absence of these severe symptoms, choice C is the most appropriate course of action.