A nurse is providing education to a client with a newborn diagnosed with a congenital heart disease. What should the nurse include in the teaching?

A) The answer is A. Weight gain of 1 pound in a week can indicate fluid retention, which may be a sign of digoxin toxicity. The nurse should instruct the client to report this symptom immediately to prevent further complications.

B) Incorrect. A heart rate below 100 beats per minute is within the normal range for most clients. A lower heart rate is often expected in clients taking digoxin, and it does not require immediate reporting unless accompanied by other concerning symptoms.

C) Incorrect. Occasional episodes of diarrhea are common side effects of digoxin. The client should report persistent or severe diarrhea, but occasional episodes may not be a cause for immediate concern.

D) Incorrect. Mild swelling of the ankles after activity is not directly related to digoxin use. The nurse should monitor the client's ankles for any worsening swelling, but it does not require immediate reporting unless accompanied by other concerning symptoms.

The answer is A

A) This option is incorrect. Middle-aged adults are not considered a high-risk population for congenital heart diseases. These conditions are primarily present from birth.

B) This option is incorrect. Elderly individuals are not at high risk for congenital heart diseases since these conditions are typically diagnosed at birth or during childhood.

C) This option is incorrect. While prenatal diagnosis of certain congenital heart diseases is possible through fetal echocardiography, pregnant women themselves are not at a higher risk for developing these conditions.

D) Correct answer. Neonates and infants are the highest-risk population for congenital heart diseases because these conditions are typically present from birth and may become apparent shortly after delivery or during infancy.