A nurse is admitting an 8-year-old child to the pediatric unit.

Exhibits

For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL). Each finding may support more than 1 diseases.

A. Urine output 25 mL/hr: This output is adequate for a school-age child and does not contraindicate the administration of digoxin. Digoxin does not require withholding based on urine output unless there are signs of renal impairment.

B. Respiratory rate 18/min: A respiratory rate of 18/min is within normal limits for a school-age child (approximately 18–30/min). This finding would not require withholding digoxin.

C. Oxygen saturation 88%: While this value is low and requires assessment and intervention, it is not a direct contraindication for digoxin administration. The low oxygen level may be due to another cause and should be addressed separately.

D. Heart rate 64/min: Digoxin slows the heart rate, and a heart rate below 70/min in a school-age child is considered bradycardic. Digoxin should be withheld in the presence of bradycardia due to the risk of further depressing the cardiac rate and leading to complications such as heart block.

A. Nausea: Nausea is a common gastrointestinal side effect of cefazolin, a first-generation cephalosporin. It may also be accompanied by vomiting, diarrhea, or abdominal discomfort. The nurse should monitor for these symptoms and report persistent or severe cases.

B. Hypertension: Cefazolin is not typically associated with elevated blood pressure. Hypertension is not a known adverse effect of this antibiotic, so monitoring blood pressure specifically for this reason is unnecessary unless the child has other risk factors.

C. Increased appetite: Cefazolin does not cause increased appetite. Antibiotics generally do not enhance appetite and may even decrease it due to GI side effects like nausea or dyspepsia.

D. Constipation: Constipation is not a typical side effect of cefazolin. If GI symptoms occur, they are more likely to involve diarrhea or nausea rather than decreased bowel motility.