A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin.
Which of the following manifestations should the nurse include as an indication of digoxin toxicity?

Choice A rationale:

Placing a baby on their side to sleep is not recommended due to the risk of sudden infant death syndrome (SIDS) Babies should be placed on their back to sleep to reduce the risk of SIDS. Therefore, this statement indicates a misunderstanding of the teaching and should be corrected by the nurse.

Choice B rationale:

Dressing the baby in lightweight clothing is a correct understanding of SIDS prevention guidelines. Overheating is a risk factor for SIDS, so dressing the baby in lightweight, breathable clothing is recommended to maintain a comfortable body temperature during sleep.

Choice C rationale:

Moving the baby's stuffed animal to the corner of the crib is not a recommended practice. Stuffed animals and soft bedding should be kept out of the baby's sleep area to reduce the risk of suffocation and SIDS. This statement indicates a misunderstanding of the teaching and should be corrected by the nurse.

Choice D rationale:

Having the baby sleep next to the parents in bed increases the risk of accidental suffocation and SIDS. Babies should sleep in their own safe sleep environment, such as a crib or bassinet, to reduce the risk of SIDS. This statement indicates a misunderstanding of the teaching and should be corrected by the nurse.

Choice A rationale:

Varicella (chickenpox) is highly contagious and spreads through the air via respiratory droplets. Initiating airborne precautions, such as wearing masks and isolating the patient in a negative pressure room, helps prevent the spread of the virus to other patients and healthcare workers.

Choice B rationale:

Providing a warm blanket is a comfort measure and does not address the contagious nature of varicella. While keeping the child comfortable is important, preventing the spread of the infection to others is a higher priority.

Choice C rationale:

Koplik spots are small, white spots with blue or red centers that can appear on the oral mucosa in individuals with measles. Varicella does not cause Koplik spots; this finding is specific to measles. Therefore, assessing for Koplik spots is not relevant in the context of varicella.

Choice D rationale:

Administering aspirin to a child with varicella is contraindicated due to the risk of Reye's syndrome, a potentially fatal condition characterized by acute brain and liver damage. Acetaminophen is the preferred antipyretic for managing fever in children with varicella.