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:

Using half-strength formula might not provide enough nutrition for the infant, especially if they have failure to thrive. It's essential to provide adequate nutrition to support growth and development.

Choice B rationale:

Giving fruit juice between feedings can fill the baby's stomach with low-nutrient beverages, decreasing the intake of essential nutrients needed for growth.

Choice C rationale:

Keeping the infant in a visually stimulating environment is important for cognitive and sensory development. However, this alone will not address the underlying issue of failure to thrive, which often requires medical and nutritional interventions.

Choice D rationale:

Assigning consistent nursing staff to care for the infant promotes a stable and trusting environment for the infant. Consistency in care can enhance the infant's sense of security and facilitate bonding. Additionally, it ensures that the infant's progress or any changes in condition are closely monitored by familiar caregivers, leading to prompt interventions if needed.

Choice A rationale:

Discouraging the parents from allowing siblings to view the body can prevent healthy grieving and closure for the siblings. Allowing siblings to view the body, if they wish, can help them understand the reality of the situation and cope with their emotions in a healthy way.

Choice B rationale:

Providing a follow-up phone call 1 week following the infant's death is a good practice, but it is not the most immediate and crucial action in this situation. Acknowledging the family's feelings of guilt and providing emotional support should take precedence.

Choice C rationale:

Avoiding discussing details of the attempt to revive the infant might hinder the family's ability to process the situation. Open communication, including discussing the events leading to the infant's death, can help the family members come to terms with their loss.

Choice D rationale:

Acknowledging the family members' feelings of guilt is the correct choice. Parents and family members often experience guilt after the death of an infant from SIDS, wondering if there was something they could have done differently. The nurse should acknowledge these feelings and provide reassurance, emphasizing that SIDS is not the result of parental actions or negligence.