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. In nephrotic syndrome, there is significant protein loss leading to edema. Increasing fluid intake would exacerbate the problem. Fluid restriction is often necessary.
B. Daily weight monitoring is crucial in nephrotic syndrome to assess fluid retention and the effectiveness of treatment. Weight gain indicates fluid accumulation.
C. Elevating the child's head and legs can help reduce edema. Supine positioning might worsen it.
D. Adequate nutrition is essential for healing and recovery. Restricting calories is not necessary and could be harmful.

A. This statement is appropriate for a 3-year-old. It uses simple language to explain the injection in a way that minimizes fear. Describing the injection as a "little stick" helps to convey that the sensation will be brief and not too painful, which can help reduce anxiety about the procedure.
B. This statement is not advisable because it can place undue pressure on the child to avoid expressing their feelings of discomfort. Additionally, it can create a sense of conditional reward rather than focusing on the purpose of the injection and making the experience more positive.
C. While this statement is well-intentioned, it might be too vague for a 3-year-old. Children at this age may not fully understand the concept of "feeling better" or the purpose of the medication. It is better to use simple and specific language that relates directly to the procedure rather than the outcome.
D. This statement is not appropriate because it offers a choice that is not feasible or relevant to the
child’s immediate situation. For a 3-year-old, the decision about which leg to use is typically made by the healthcare provider based on clinical considerations.