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. Shakiness is a common symptom of hypoglycemia. When blood glucose levels drop, the body may react with symptoms like trembling or shaking. This is because low blood sugar levels can trigger the release of adrenaline, leading to physical symptoms such as shakiness.
B. While decreased appetite can occur in various conditions, it is not a primary or specific manifestation of hypoglycemia. Typically, hypoglycemia causes symptoms related to the body’s response to low glucose levels, such as shakiness, sweating, or confusion, rather than a decrease in appetite.
C. Thirst is more commonly associated with hyperglycemia (high blood glucose levels), not hypoglycemia. When blood glucose levels are high, the body tries to get rid of the excess sugar through increased urination, leading to dehydration and increased thirst. This is not a typical sign of low blood sugar.
D. Increased capillary refill time is generally a sign of poor perfusion or dehydration and is not specific to hypoglycemia. In hypoglycemia, the capillary refill time is usually normal, though other signs such as shakiness, sweating, or irritability are more indicative of low blood sugar levels.

A. Vomiting is a common symptom of NEC. It can occur due to the inflammation and necrosis in the intestines, which disrupt normal digestion and absorption. In NEC, the vomit may also contain bile or even blood, depending on the severity of the condition.
B. Tachypnea, or rapid breathing, can be observed in infants with NEC, though it is not the most specific sign. Tachypnea may result from the body's response to systemic infection or sepsis, which can occur with NEC. However, tachypnea alone is not as directly indicative of NEC compared to other signs.
C. Hypertension (high blood pressure) is not a typical finding associated with NEC. The condition is more commonly linked with signs of gastrointestinal distress and systemic infection. Hypertension is less commonly observed in this context and is not a primary indicator of NEC.
D. A rounded abdomen can be a sign of abdominal distension, which is a key finding in NEC. Abdominal distension occurs due to the accumulation of gas and fluid in the intestines as a result of inflammation and necrosis. This can lead to a visibly swollen or rounded appearance of the abdomen.