A nurse is assessing an infant who has intussusception.
Which of the following findings should the nurse expect?

Choice A rationale:

Bradycardia, or a slow heart rate, is a manifestation of digoxin toxicity. Digoxin, a medication commonly prescribed for heart conditions, can cause toxic effects when its levels become too high in the body. Bradycardia is a result of the drug's action on the heart's electrical conduction system and indicates toxicity.

Choice B rationale:

Diaphoresis, or excessive sweating, is not a specific manifestation of digoxin toxicity. While sweating can occur due to various reasons, it is not a characteristic sign of digoxin toxicity.

Choice C rationale:

Jaundice, or yellowing of the skin and eyes, is not a typical manifestation of digoxin toxicity. Jaundice is more commonly associated with liver or bile duct disorders.

Choice D rationale:

Polyuria, or excessive urination, is not a specific sign of digoxin toxicity. Digoxin toxicity primarily affects the heart and its electrical conduction system, leading to symptoms like bradycardia.

Choice A rationale:

Administer cool, humidified oxygen via nasal cannula. Infants with heart failure often experience respiratory distress due to inadequate oxygenation. Administering cool, humidified oxygen via nasal cannula helps improve oxygen saturation and alleviate respiratory distress. Humidified oxygen prevents the mucous membranes from drying out, making breathing easier for the infant. Cool oxygen is preferred to reduce the work of breathing and to soothe irritated airways, improving the overall comfort of the infant.

Choice B rationale:

Provide less frequent, higher volume feedings. Infants with heart failure may have difficulty feeding due to fatigue and increased respiratory effort. Providing less frequent, higher volume feedings ensures that the infant receives adequate nutrition without becoming overly fatigued during feeding sessions. It allows the infant to obtain the necessary nutrients without putting excessive stress on their weakened cardiovascular system.

Choice C rationale:

Place the infant in a prone position. Placing the infant in a prone position is not recommended in the care of a child with heart failure. Placing the infant in an upright or semi-upright position is more appropriate as it reduces the workload on the heart and improves respiratory function. Placing the infant flat on their back may cause increased pressure on the diaphragm and worsen respiratory distress.

Choice D rationale:

Repeat a digoxin dosage if the infant vomits within 1 hr of administration. Digoxin is a medication commonly prescribed for heart failure. However, if the infant vomits shortly after receiving a dose, repeating the dose is not advisable. Vomiting may indicate that the medication was not properly absorbed, and administering an additional dose could lead to an overdose. Instead, the nurse should consult the healthcare provider for further instructions and closely monitor the infant's condition.