A nurse is reinforcing teaching with a client who is starting digoxin therapy to treat heart failure. The nurse should reinforce with the client that which of the following adverse effects is a possible indication of digoxin toxicity and should be reported to the provider?

Choice A Reason:

Keeping legs in a dependent position (hanging down) is generally not recommended after vein stripping surgery, as it can increase swelling. Elevation of the leg is often recommended to reduce swelling and improve blood flow.

Choice B Reason:

Wrapping the leg with an elastic bandage is correct. When providing discharge teaching to a client who has undergone vein stripping of the right leg, the nurse should include instructions for post-operative care. Wrapping the leg with an elastic bandage is a common practice to help reduce swelling, provide support to the leg, and promote healing. Proper application of the bandage helps with compression and prevents complications like hematoma formation.

Choice C Reason:

Maintaining bed rest for 48 hours is not typically required after vein stripping surgery. Early ambulation and movement are encouraged to prevent blood clots and promote healing.

Choice D Reason:

Implementing a sodium-restricted diet is not directly related to post-operative care for vein stripping surgery. Dietary restrictions should be discussed with a healthcare provider, but they are not a routine part of post-operative instructions for this procedure.

Choice A Reason:

"I will notify my provider if my baby sleeps more than 10 hours per day." This statement is not in line with normal newborn sleep patterns. Newborns typically sleep for longer durations and wake up for feedings. It's essential for parents to follow their provider's guidance on feeding and sleep schedules.

Choice B Reason:

"I will place my baby on his back for sleeping." This statement indicates an understanding of safe sleep practices for newborns. Placing a baby on their back for sleep is recommended to reduce the risk of sudden infant death syndrome (SIDS).

Choice C Reason:

"I will change my baby's diaper every 4 hours." While it's important to change a baby's diaper regularly, the frequency of diaper changes may vary depending on the baby's needs. Diapers should be changed when wet or soiled, not necessarily on a strict time schedule.

Choice D Reason:

"I will limit my baby's feedings so he does not become overweight." It is not advisable to limit a newborn's feedings for concerns about becoming overweight. Newborns need to feed frequently to meet their nutritional needs and support healthy growth and development. Parents should follow their healthcare provider's guidance on feeding and monitor the baby's growth and weight appropriately.