A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity?

Choice A Reason:

Bradycardia is correct. This is because bradycardia, or a slower than normal heart rate, can indeed be an indicator of digoxin toxicity. Digoxin is a medication that affects the heart's rhythm, and toxicity can lead to an excessively slow heart rate among other symptoms.

Choice B Reason:

Jaundice is incorrect. Jaundice, characterized by yellowing of the skin and eyes due to elevated bilirubin levels, is not commonly associated with digoxin toxicity. It's more indicative of liver-related issues rather than digoxin toxicity.

Choice C Reason:

Diaphoresis is incorrect. Diaphoresis, or excessive sweating, is not typically a primary symptom of digoxin toxicity. While various medications or medical conditions can cause diaphoresis, it's not a common indicator of digoxin toxicity.

Choice D Reason:

Polyuria is incorrect. Polyuria, excessive urination, is not a typical symptom of digoxin toxicity. It's not a direct effect of the medication on the body's systems.

Choice A Reason:

Pad the side rails of the crib is correct. This intervention aims to ensure the infant's safety by preventing injury or entrapment in the crib. It's relevant to prevent accidental harm, especially if the infant is experiencing seizures or increased muscle tone due to meningitis.

Choice B Reason:

Keep the television on in the room to provide background noise is incorrect. Background noise might be distracting and uncomfortable for an infant with bacterial meningitis, especially if they're experiencing sensitivity to light and sound due to their condition. A quiet, calm environment is generally more conducive to their recovery.

Choice C Reason:

Place the infant in a semiprivate room is incorrect. Providing a quieter environment with fewer disturbances can be beneficial for an infant with bacterial meningitis. This measure promotes rest and minimizes exposure to potential infections from other patients.

Choice D Reason:

Provide frequent range of motion to the neck and shoulders is incorrect. In cases of bacterial meningitis, particularly when inflammation occurs in the meninges (the protective membranes covering the brain and spinal cord), excessive movement or manipulation of the head and neck might be painful and could exacerbate symptoms.