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 a digoxin level of 1.2 ng/mL (0.8 to 2 ng/mL).
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.
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale
A digoxin level of 1.2 ng/mL is within the therapeutic range (0.8 to 2 ng/mL) for toddlers receiving digoxin therapy. This level does not require a revision of the plan of care.
Choice B rationale
An apical pulse of 100/min is within the normal range for toddlers. Digoxin therapy requires monitoring of the heart rate, but this pulse rate does not necessitate a change in the plan of care.
Choice C rationale
A potassium level of 4.0 mEq/L is within the normal range (3.4 to 4.7 mEq/L) for toddlers. This electrolyte level does not require a revision of the plan of care.
Choice D rationale
Vomiting is a potential sign of digoxin toxicity. A toddler who has vomited 2 times in the last hour may be experiencing digoxin toxicity, and the plan of care should be revised to address this issue. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Having their cell phone visible and diverting the eyes to check messages is not an effective nonverbal technique for enhancing the importance of education. It can be distracting and may convey a lack of interest or attention to the client.
Choice B rationale
Crossing arms over the chest and avoiding eye contact can be perceived as defensive or disinterested body language. It does not enhance the importance of education and may create a barrier to effective communication.
Choice C rationale
Smiling, nodding, and touching the client’s hand are positive nonverbal techniques that can enhance the importance of education. These actions convey warmth, empathy, and attentiveness, making the client feel valued and understood.
Choice D rationale
Leaning gently over the back of a chair with legs crossed can be perceived as casual or relaxed body language. It does not convey the importance of the education being provided.
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale
Amphotericin B is an antifungal medication and is not used to treat impetigo, which is a bacterial infection.
Choice B rationale
Initiating contact isolation precautions is appropriate for impetigo contagiosa to prevent the spread of the highly contagious bacterial infection.
Choice C rationale
Lidocaine ointment is used for pain relief and is not a treatment for impetigo.
Choice D rationale
Impetigo is not a reportable disease to the state health department.
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