A nurse is caring for a child who is dying. Which of the following are findings of impending death? (Select all that apply.)
Sensation of being cold
Heightened sense of hearing
Difficulty swallowing
Tachycardia
Cheyne-Stokes respirations
Correct Answer : A,C,D,E
Choice A reason: A sensation of being cold can occur as the body's circulation diminishes and blood flow to the extremities decreases.
Choice B reason: A heightened sense of hearing is not typically a sign of impending death; this choice is incorrect.
Choice C reason: Difficulty swallowing can be a sign of impending death due to the body's muscles weakening and a decrease in reflexes.
Choice D reason: Tachycardia may occur as the heart tries to compensate for decreased function in other systems.
Choice E reason: Cheyne-Stokes respirations, characterized by a pattern of irregular breathing, are a common sign of impending death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Zanamivir is indeed recommended for children 1 year and older, but it is not the only antiviral medication for influenza. It is an inhaled medication and may not be suitable for all children.
Choice B reason: Amantadine is an antiviral medication; however, it is not commonly used for influenza prevention due to resistance. It is also not recommended for children under 1 year of age.
Choice C reason: Rimantadine is similar to amantadine and is administered orally, not intramuscularly. Like amantadine, resistance has limited its use for influenza treatment and prevention.
Choice D reason: Oseltamivir is an oral antiviral medication that can treat influenza if given within 48 hours of symptom onset. It can reduce the duration of symptoms and is suitable for children and adults.
Correct Answer is C
Explanation
Choice A reason: Digoxin is used to treat heart conditions by slowing the heart rate and increasing its efficiency. It does not increase the heart rate. The normal heart rate for a 12-month-old infant ranges from 80 to 160 beats per minute.
Choice B reason: If an infant vomits after taking digoxin, repeating the dose could lead to toxicity. Instead, caregivers should wait until the next scheduled dose or contact a healthcare provider for guidance.
Choice C reason: Administering digoxin at regular intervals ensures consistent therapeutic levels in the bloodstream, which is crucial for the medication's efficacy and safety.
Choice D reason: Offering fluids after medication does not interfere with digoxin's absorption. However, caregivers should be aware of the signs of digoxin toxicity, which include vomiting, lethargy, and bradycardia.
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