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 Reason:

"Are you willing to take new parenting classes?" This question is about the parent's willingness to seek additional education rather than exploring their current coping methods.

Choice B Reason:

"What do you do when your infant is fussy?" is correct. This question invites the parent to share their strategies for managing their infant's fussiness, allowing the nurse to gain insight into the parent's coping mechanisms and caregiving approaches. It acknowledges the challenges of dealing with a fussy infant while providing an opportunity for the parent to discuss their techniques for soothing or calming the baby.

Choice C Reason:

"Is it overwhelming when your infant is having a bad day?" While this question acknowledges the potential stress the parent may experience, it might not directly invite discussion about coping mechanisms or strategies.

Choice D Reason:

"Does parenting because you stress?" This question directly addresses stress but might not encourage the parent to discuss specific coping mechanisms or strategies they use when faced with challenging situations.

In teaching parents of a preschool-age child with heart failure, the nurse should include the following information:

Choice A Reason:

Withhold digoxin if the child's pulse is greater than 100/min. While monitoring the pulse rate is important in children taking digoxin, a pulse rate greater than 100/min alone may not always indicate the need to withhold digoxin. The decision to withhold digoxin should be based on healthcare provider instructions and specific parameters provided for the child's case.

Choice B Reason:

Increase the child's oxygen flow rate until the child no longer has cyanosis. Adjusting oxygen flow rates should be done under the guidance of healthcare providers and based on prescribed protocols. Cyanosis is a serious sign indicating decreased oxygenation and should be addressed promptly by seeking medical attention rather than attempting to adjust oxygen flow rates at home.

Choice C Reason:

Weigh the child once each month. Monitoring the child's weight is important in heart failure management to track fluid retention, but weighing the child once a month may not provide sufficient monitoring. The healthcare provider might recommend more frequent weight checks to monitor fluid status accurately.

Choice D Reason:

Provide for periods of rest. Children with heart failure often have limited cardiac reserve and can easily become fatigued. Allowing the child periods of rest is essential to conserve energy and prevent excessive fatigue or exhaustion.