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
Vomiting can lead to decreased absorption of digoxin, potentially resulting in subtherapeutic levels and inadequate therapeutic effect. The plan of care should be revised to address the vomiting and consider alternative routes of administration or doses.
A digoxin level within the therapeutic range indicates adequate drug absorption and effectiveness.
An apical pulse of 100/min is within the expected range for toddlers and does not necessarily require a revision of the plan of care related to digoxin therapy.
A potassium level within the normal range is desirable and does not necessarily require a revision of the plan of care related to digoxin therapy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","F","G"]
Explanation
A. Cutting and filing the child's fingernails frequently can help prevent excessive scratching and further damage to the skin.
B. Using a mild detergent reduces the risk of skin irritation and exacerbation of atopic dermatitis.
C. Pimecrolimus cream should be applied thinly, not in a thick layer, to the affected areas to avoid potential side effects.
D. Atopic dermatitis tends to have periodic flare-ups, so it's important to inform the guardian about this aspect of the condition.
E. Atopic dermatitis itself is not contagious, although the child may be prone to skin infections if lesions are present.
F. Applying gloves to the child's hands can prevent scratching and further skin damage.
G. Emollients help to moisturize the skin and improve its barrier function, which is important in managing atopic dermatitis.
Correct Answer is B
Explanation
A. While preparing the 3-year-old child for changes in routines is important, it is too general. Providing specific strategies like role-playing with a doll would be more helpful.
B. Providing a doll for the 3-year-old child to imitate parental behaviors is an effective way to help them understand and adjust to the new sibling's arrival. This encourages a sense of involvement and can help alleviate feelings of jealousy or displacement.
C. While telling the 3-year-old child about having a new playmate is positive, it does not offer concrete strategies for preparing the child for the new sibling's arrival.
D. Waiting for the newborn to come home before moving the 3-year-old child from the crib to a bed may not be necessary. The transition from crib to bed can be independent of the newborn's arrival and should be based on the child's readiness.
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