A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, is prescribed digoxin and furosemide. Which of the following assessment findings are MOST concerning?
A blood pressure of 100/56 and a small weight gain
A heart rate of 150 beats/minute with crying
An apical pulse of 70 beats/minute and vomiting
An hourly urine output of 45mL/hour
The Correct Answer is C
A. A blood pressure of 100/56 and a small weight gain may indicate fluid retention, but they are not immediately life-threatening.
B. A heart rate of 150 beats/minute with crying can be normal for a child of this age, especially during emotional distress.
C. An apical pulse of 70 beats/minute and vomiting are concerning because they may indicate digoxin toxicity. A low heart rate (bradycardia) in a child on digoxin requires immediate attention.
D. An hourly urine output of 45 mL/hour is adequate and not concerning in this context.
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Related Questions
Correct Answer is D
Explanation
A. This statement is incorrect as current research shows no credible evidence linking immunizations to autism.
B. While it might be necessary to have documentation if a parent refuses immunizations, this is not the most effective first response to the mother's concerns.
C. While it is true that parents have the right to make decisions regarding immunizations, this response does not address the mother's specific concern about autism.
D. Providing accurate, evidence-based information is the best first response. It addresses the mother's concerns directly and helps correct misinformation.
Correct Answer is C
Explanation
A. HIB (Haemophilus influenzae type b) vaccine is an inactivated vaccine and can be given to immunocompromised children.
B. IPV (Inactivated Poliovirus Vaccine) is also an inactivated vaccine and can be given to immunocompromised children.
C. Varicella (chickenpox) vaccine is a live attenuated vaccine and should not be given to immunocompromised children, such as those receiving chemotherapy, because it poses a risk of causing an infection in these individuals.
D. DTaP (Diphtheria, Tetanus, and Pertussis) vaccine is an inactivated vaccine and can be administered to immunocompromised children.
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