A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

A. While it is important to check for skin irritation at the cast edges, this is not the most immediate concern compared to other potential complications. Skin irritation can occur, but it is a less urgent issue compared to signs of more serious problems like impaired circulation or swelling.
B. Itching is a common issue with casts, and using a hair dryer on a cool setting can help relieve this discomfort. However, this is a comfort measure and does not address the more critical aspects of cast care and potential complications.
C. Restricting strenuous activities is important to prevent complications and ensure proper healing, but it is not the most immediate concern following cast application. The timeframe may also need to be

longer than just 3 days, depending on the type of surgery and cast. Specific activity restrictions should be based on the child's condition and the surgeon's recommendations.
D. Monitoring for pallor and swelling is critical because these signs can indicate compromised circulation or other serious complications related to the cast. Swelling and changes in skin color can suggest that the cast is too tight or that there is a problem with blood flow. Immediate attention is needed if these symptoms are observed to prevent further complications.

A. While chicken soup is often considered a comfort food, it's not ideal for an infant with acute diarrhea. It's too heavy and can worsen symptoms.
B. Sugary drinks like white grape juice can actually worsen diarrhea. They can also lead to dehydration due to increased water loss.
C. While applesauce was once recommended as part of the BRAT diet, it's not considered as beneficial as it once was. It's better to offer oral electrolyte solutions.
D. Oral electrolyte solutions (ORS) are specifically designed to replenish fluids and electrolytes lost through diarrhea. They are essential in preventing dehydration.