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:

"We will apply lotion to the skin under the straps." Applying lotion under the straps might create moisture, interfere with the harness's function, or cause skin irritation. It's generally recommended to avoid lotions or creams under the straps.

Choice B Reason:

"We should expect our baby to wear this harness for 2 weeks." The duration for wearing a Pavlik harness can vary significantly depending on the severity of the hip dysplasia and the infant's response to treatment. The duration is determined by the healthcare provider's assessment and may extend beyond 2 weeks.

Choice C Reason:

"We will place the diaper under the straps." Placing the diaper under the straps helps prevent skin irritation and chafing caused by the straps rubbing against the skin. It ensures that the skin remains protected and reduces the risk of skin breakdown or discomfort for the infant.Pavlik harnesses are typically designed to keep the hips in a specific position, and diapers should be placed underneath to avoid leaks soiling the harness

Choice D Reason:

"We should adjust the straps daily." Adjusting the straps of a Pavlik harness should only be done by a healthcare professional to ensure proper positioning and safety.

When educating the parent of a child with scabies, it's important to provide accurate information about managing the condition and preventing its spread. Among the options provided:

Choice A Reason:

Apply petroleum jelly to the affected areas: Petroleum jelly does not effectively treat scabies. While it might provide some relief from itching, it won't eliminate the mites or their eggs

Choice B Reason:

Treat everyone who came into close contact with the child: This is an essential step in managing scabies. Close contacts, such as family members or others who have spent prolonged periods with the child, should be treated, even if they aren't showing symptoms. Treating everyone helps prevent the spread and recurrence of the infestation.

Choice C Reason:

Soak combs and brushes in boiling water for 10 minutes: While cleanliness is important to prevent the spread of scabies, soaking combs and brushes in boiling water might not effectively kill scabies mites. Scabies mites cannot survive for more than a few days away from human skin, so simply avoiding sharing personal items is usually enough to prevent transmission.

Choice D Reason:

Wash the child's hair with shampoo containing ketoconazole: Scabies mites primarily infest the skin, not the scalp or hair. Using shampoo with ketoconazole is not considered a standard treatment for scabies. Topical medications, such as permethrin or lindane, prescribed by a healthcare provider, are typically used to treat scabies.