The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by the parents indicates a need for further instruction?

A. 1 cup cooked rice: This exceeds the 1 oz serving size and is more than what the nurse is recommending.
B. Flour tortilla: The size of a flour tortilla can vary, but it often exceeds the 1 oz serving size, so it may provide more than the recommended amount.
C. 1 cup ready-to-eat cereal flakes: The volume of cereal can vary, and 1 cup of cereal may provide more than 1 oz of grains, depending on the type and density of the cereal.
D. 1 slice whole wheat bread: A standard slice of whole wheat bread typically provides around 1 oz of grains, making it an appropriate choice for the recommended serving size.

A. That lethargy and vomiting are normal with mumps:
Incorrect: Lethargy and vomiting are not typical symptoms of mumps. These symptoms could indicate a separate issue that requires medical attention.
B. To continue to monitor the child:
Incorrect: Given the reported symptoms of lethargy and vomiting, a passive approach of continuing to monitor may delay necessary medical intervention. The child should be assessed promptly.
C. To bring the child to the clinic to be seen by the pediatrician:
Correct Answer: Lethargy and vomiting are not typical symptoms of uncomplicated mumps. These symptoms could be indicative of other issues, and it's important for the pediatrician to evaluate the child to determine the cause and provide appropriate care.
D. That there is nothing to be concerned about as long as there is no fever:
Incorrect: While fever is a common symptom of mumps, the absence of fever does not negate the need for further evaluation when there are concerning symptoms like lethargy and vomiting. The child should be seen by a healthcare provider to determine the cause of these symptoms.