A client with a congenital heart disease is prescribed enalapril. The nurse should instruct the client to avoid consuming which food while on this medication?

A) Incorrect. Not all medications can be crushed, and mixing them with the infant's formula may affect their efficacy. Crushing medications should only be done when it is safe and appropriate, as determined by the healthcare provider.

B) Incorrect. Administering medications simultaneously may not be feasible or safe, as some medications require specific intervals between doses. The nurse should follow the prescribed administration schedule to ensure appropriate drug levels in the infant's system.

C) The answer is C. Using a medication organizer can help the nurse and the infant's parents keep track of the complex medication schedule. This helps prevent missed doses and ensures proper administration of each medication.

D) Incorrect. The nurse, along with the healthcare provider, should determine the medication dosing times based on the infant's condition and the prescribed schedule. Leaving the decision solely to the parents may lead to dosing errors or missed doses.

A) The answer is A. Weight gain of 1 pound in a week can indicate fluid retention, which may be a sign of digoxin toxicity. The nurse should instruct the client to report this symptom immediately to prevent further complications.

B) Incorrect. A heart rate below 100 beats per minute is within the normal range for most clients. A lower heart rate is often expected in clients taking digoxin, and it does not require immediate reporting unless accompanied by other concerning symptoms.

C) Incorrect. Occasional episodes of diarrhea are common side effects of digoxin. The client should report persistent or severe diarrhea, but occasional episodes may not be a cause for immediate concern.

D) Incorrect. Mild swelling of the ankles after activity is not directly related to digoxin use. The nurse should monitor the client's ankles for any worsening swelling, but it does not require immediate reporting unless accompanied by other concerning symptoms.

The answer is A