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 a digoxin level of 1.2 ng/mL (0.8 to 2 ng/mL)

A toddler who has vomited 2 times in the last hour

Answer and Explanation

The Correct Answer is D

A.   A normal apical pulse for a toddler is around 90-140 beats per minute. This toddler's heart rate is within normal range.
B.   This toddler's potassium level is within the normal range.
C.   This toddler's digoxin level is within the therapeutic range.
D.   Vomiting can be a sign of digoxin toxicity. Digoxin has a narrow therapeutic index, meaning that even small increases in the drug level can lead to toxicity.

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Correct Answer is D

Explanation

A. Pediculosis capitis, also known as head lice, is transmitted through direct head-to-head contact or by sharing personal items such as hats or combs. It is not transmitted via respiratory droplets, so droplet precautions are not required. Standard precautions for lice, such as treating the infestation and avoiding close contact, are appropriate.
B. Viral conjunctivitis, also known as pink eye, is primarily spread through direct contact with the eye secretions or contaminated objects. While viral conjunctivitis can be spread via contact, it does not require droplet precautions. Instead, proper hand hygiene and contact precautions are important to prevent the spread of the infection.
C. Hepatitis A is transmitted primarily through the fecal-oral route and not through respiratory droplets. Therefore, droplet precautions are not necessary. Standard precautions, including proper hand hygiene and safe food handling, are important for preventing the spread of hepatitis A.
D. Seasonal influenza (flu) is transmitted via respiratory droplets when an infected person coughs or sneezes. Droplet precautions are recommended for individuals with influenza to prevent the spread of the virus. This includes wearing masks, practicing good hand hygiene, and maintaining distance from others.

A. Blood urea nitrogen (BUN) B. Partial thromboplastin time (PTT) C. C-reactive protein (CRP) D. Antistreptolysin O (ASO) titer E. Erythrocyte sedimentation rate (ESR)

Correct Answer is ["C","D","E"]

Explanation

A. BUN is primarily used to assess kidney function. While it can be elevated in some inflammatory conditions, it's not a specific marker for rheumatic fever.
B. PTT measures the time it takes for blood to clot. It's used to evaluate bleeding disorders, not inflammatory conditions like rheumatic fever.

C. CRP is a sensitive marker of inflammation. It is often elevated in rheumatic fever due to the inflammatory response.
D. ASO titer is a specific antibody against group A Streptococcus, the bacteria that often precedes rheumatic fever. Elevated ASO titers support the diagnosis.
E. ESR is another non-specific marker of inflammation. It is often elevated in rheumatic fever.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

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