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. Prophylactic antibiotics are often given before surgical procedures to prevent infection, especially in clients with congenital heart diseases who may be at a higher risk of endocarditis.

B) Incorrect. While it's essential for the client to take precautions after surgery to reduce the risk of infection, avoiding contact with others for two weeks is not necessary or practical. Instead, following proper wound care and taking prescribed medications as instructed are more relevant measures.

C) Incorrect. Discharging the client early from the hospital does not necessarily reduce the risk of infection. Postoperative care and wound management are crucial to prevent infection, regardless of the length of the hospital stay.

D) Incorrect. All surgical procedures carry some risk of infection. While healthcare providers take measures to minimize this risk, it is not accurate to claim there is no risk at all.

A) The answer is A. Digoxin is commonly prescribed for clients with congenital heart diseases to improve cardiac contractility. It is essential to monitor the heart rate before administration since digoxin can cause bradycardia as a side effect.

B) Incorrect. The statement is not accurate. There is no need to avoid green, leafy vegetables while taking digoxin. However, the client should be informed about potential drug interactions and follow a balanced diet.

C) Incorrect. Clients taking digoxin should be cautious about consuming potassium-rich foods, as hypokalemia (low potassium levels) can potentiate the effects of digoxin and lead to toxicity.

D) Incorrect. Mild nausea can be a common side effect of digoxin, and the client should not discontinue the medication without consulting their healthcare provider. Instead, they should report any adverse effects for proper evaluation.