The nurse has provided instructions about home care management for the parents of a child diagnosed with rotavirus infection. Which statements by the parents indicate that teaching has been effective? Select all that apply.

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Rotavirus is a contagious virus and the leading cause of diarrhea in children less than 5 years old; it is also the cause of many nosocomial infections each year. Rotavirus is spread via the fecal-oral route. Because the virus lives easily outside a human host, transmission can occur through contact with food, toys, diapers, and hands. Meticulous handwashing and proper diaper disposal prevent the spread of the virus (Options A and E). Symptoms include foul-smelling, watery diarrhea that lasts 5-7 days and is often accompanied by fever and vomiting. Vaccination is available and must be given before the child is 8 months old. However, vaccinated children can still acquire Rotavirus as many strains are not covered by the vaccine. Antibiotics are not effective against this viral agent. Because the virus can easily lead to dehydration, parents should be taught the symptoms (eg, lack of tears when crying, extremely fussy or sleepy, decreased urination, dry mucous membranes). Oral rehydration solutions should be used to combat dehydration (Option B). (Option C) Breastfeeding and normal diet should be maintained. There is no evidence that these are harmful. (Option D) Parents should change the child's diapers more frequently and wash the perianal area with mild soap and water. Commercial baby wipes containing alcohol should not be used as they are irritating. Protective zinc oxide can be applied instead. Educational objective: Rotavirus is a contagious infection that is easily spread via the fecal-oral route by touching contaminated objects, food, and hands. It is not treated with antibiotics as it is a viral infection. Vaccination is available for children less than 8 months old. Children with rotavirus are at risk for dehydration.

The Nurse Has Provided Instructions About Home Care Management for the Parents