A 6-year-old child is brought to the clinic because the mother has noticed the child scratching the anal area frequently. The nurse suspects the child has pinworms. Which childhood behavior enhances the transmission of pinworms?

Choice A rationale:

Adding medication to orange juice is not recommended for digoxin administration. This can affect the drug's absorption and potency due to interactions with food components.

Choice B rationale:

Ensuring the child has had food or drink before giving the medication is crucial for digoxin administration. Food in the stomach can help mitigate gastrointestinal irritation and enhance drug absorption.

Choice C rationale:

A pulse over forty is too low for digoxin administration. The typical guideline is usually a pulse rate over 60 in pediatric patients before administering digoxin.

Choice D rationale:

Using a calibrated dropper for medication administration is not the standard method for digoxin. Precision in dosing is essential for this drug, and using a calibrated oral syringe or dropper is recommended to accurately measure the dose.

Choice A rationale:

Placing the patient in halo traction is not applicable for a scoliosis correction surgery with Harrington rods. Halo traction is typically used for cervical spine injuries or deformities, not for scoliosis correction.

Choice B rationale:

The correct answer. After Harrington rod insertion, maintaining proper alignment is crucial to prevent complications. Using a log-roll technique when turning the patient helps maintain spinal alignment and prevent stress on the surgical site.

Choice C rationale:

Keeping the patient nothing by mouth for 72 hours is not typically necessary after scoliosis surgery. Clear fluids and a light diet are usually initiated shortly after surgery.

Choice D rationale:

Restricting visitors for 48 hours is not a standard practice after scoliosis surgery unless there are specific infection control concerns, which are not mentioned in the scenario.