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 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)
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)
The Correct Answer is A
A. Vomiting is a sign of potential digoxin toxicity, and the nurse should revise the plan of care for this toddler.
B. This digoxin level is within the therapeutic range.
C. An apical pulse of 100/min could be normal for a toddler, but it should be monitored closely in the context of digoxin therapy.
D. This potassium level is within the normal range.
Nursing Test Bank
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Related Questions
Correct Answer is C
Explanation
A. A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis.
B. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness.
C. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness.
D. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.
Correct Answer is C
Explanation
A) Inhalation of gasoline is more likely to cause hyperthermia due to its effects on the central nervous system and metabolic rate.
B) Hyperactive reflexes are not typically associated with gasoline inhalation but rather with stimulant use such as amphetamines or cocaine.
C) Ataxia, or lack of coordination, is a common neurological symptom of gasoline inhalation due to its toxic effects on the brain and nervous system.
D) Pinpoint pupils are more commonly associated with opioid overdose, not gasoline inhalation.
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