A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

A toddler who has an apical pulse of 100/min

A toddler who has a potassium level of 4.0 mEq/L (3.4 to 4.7 mEq/L)

A toddler who has vomited 2 times in the last hour

A toddler who has a digoxin level of 1.2 ng/mL (0.8 to 2 ng/mL)

Answer and Explanation

The Correct Answer is C

A. An apical pulse of 100/min is within the normal range for a toddler. Digoxin should be administered cautiously if the heart rate is too low (below 90-100/min for young children), but 100/min is not a concern.

B. A potassium level of 4.0 mEq/L is within the normal range for toddlers (3.4-4.7 mEq/L), so there is no indication to revise the plan of care.

C. Vomiting is a sign of digoxin toxicity, and it requires immediate attention. The nurse should reassess the digoxin dose and check for other signs of toxicity, such as nausea, bradycardia, and arrhythmias.

D. A digoxin level of 1.2 ng/mL is within the therapeutic range for a toddler (0.8-2 ng/mL), so there is no need to revise the plan of care based on this finding.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Water-miscible vitamins A, D, E, and K are appropriate for a child with cystic fibrosis, as they are fat-soluble vitamins that the child may not absorb well.

B. Airway clearance therapy should be performed after bronchodilator medications, not before. Bronchodilators help open the airways, which enhances the effectiveness of airway clearance therapy.

C. A high-calorie, high-protein diet is recommended for children with cystic fibrosis due to increased energy needs.

D. Using airway clearance therapy every 2 hours while awake is appropriate and ensures optimal lung function.

A. Position the child supine at bed time. B. Limit calorie intake to 45 cal/kg/day. C. Weigh the child once per day. D. Increase fluid intake to 2 L/day.

Correct Answer is C

Explanation

A. The child should be positioned in a comfortable position based on their condition, not necessarily supine at bedtime.

B. Calorie intake should be sufficient to support growth, typically 120–150 cal/kg/day for a child with nephrotic syndrome, not restricted to 45 cal/kg/day.

C. Weighing the child once per day helps monitor fluid retention, a key aspect of managing nephrotic syndrome in the acute phase.

D. Fluid intake should be monitored carefully, but a target of 2 L/day is likely excessive for a child in the acute stage of nephrotic syndrome. Fluid restriction may be necessary depending on the child's condition.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the admission prescriptions for a 6-year-old child who has cystic fibrosis. For which of the following prescriptions should the nurse contact the child's provider?

Correct Answer is B

Explanation

A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?

A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?

A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?

A charge nurse is teaching a newly-licensed nurse about age-appropriate guidelines to prepare a school-age child for a procedure. Which of the following statements indicates that the newly-hired nurse understands the teaching?

A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?

A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?

A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?