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?
Bradycardia
Jaundice
Diaphoresis
Polyuria
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Moisten the mucosa with lemon glycerin swabs. Lemon glycerin swabs might be too acidic and can cause irritation or discomfort in oral ulcers. Using them could exacerbate the toddler's condition.
Choice B Reason:
Cleanse the gums with saline-soaked gauze. This action can help maintain oral hygiene and reduce the risk of infection in the oral ulcers. Saline is gentle and can help keep the affected area clean without causing further irritation.
Choice C Reason:
Administer oral viscous lidocaine. Lidocaine is a local anesthetic that may be used in some cases for pain relief, but its use in oral ulcers for toddlers might not be recommended due to potential risks and concerns about ingestion, especially in young children.
Choice D Reason:
Schedule routine oral care every hour. While oral care is essential, performing it too frequently (every hour) might cause more discomfort and irritation to the already sensitive oral ulcers. Gentle, regular care is important, but excessive cleaning can be detrimental.
Correct Answer is D
Explanation
Choice A Reason:
Stretch the perineum taut when applying the bag. Taut stretching might cause discomfort or be unnecessary for applying the collection bag and could potentially disrupt the process.
Choice B Reason:
Apply lidocaine gel to the perineum before attaching the bag. Applying lidocaine gel isn't typically necessary for routine urine collection and might not be appropriate for this procedure in an infant without specific indications for its use.
Choice C Reason:
Place a snug-fitting diaper over the drainage bag. Placing a diaper over the collection bag might interfere with the collection process, cause the bag to shift, or create unnecessary pressure on the area.
Choice D Reason:
Position the opening of the bag over the urethra and the anus. Placing the opening of the collection bag over both the urethra and the anus increases the chances of capturing urine effectively. It allows for the collection of a clean catch urine sample while minimizing the risk of contamination from the anus.
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