What should the nurse include in a teaching plan for the parents of a child with vesicoureteral reflux?

Choice A reason: Bubble baths can irritate the urethra and introduce bacteria, increasing the risk of urinary tract infections in children with vesicoureteral reflux, where urine flows backward from the bladder to the ureters. This practice is contraindicated, making it an incorrect inclusion in the teaching plan for parents. Choice B reason: Holding urine for 6 to 8 hours promotes urinary stasis, increasing the risk of bacterial growth and infections in vesicoureteral reflux. Frequent voiding is recommended to flush the urinary tract, making this instruction harmful and incorrect for managing the condition effectively in children. Choice C reason: Prophylactic antibiotics are often prescribed in vesicoureteral reflux to prevent recurrent urinary tract infections, which can lead to kidney damage. By reducing bacterial colonization in the urinary tract, antibiotics protect renal function, making this a critical component of the teaching plan for parents to ensure compliance. Choice D reason: Fluid restrictions are not indicated for vesicoureteral reflux. Increased fluid intake promotes frequent urination, flushing bacteria from the urinary tract and reducing infection risk. Restricting fluids could exacerbate the condition, making this an incorrect and harmful suggestion for the teaching plan.