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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Oral electrolyte solution helps to prevent dehydration and maintain electrolyte balance in infants with acute diarrhea.
B. Applesauce may worsen diarrhea due to its high fiber content and should be avoided initially.
C. White grape juice may worsen diarrhea due to its high sugar content and lack of electrolytes.
D. Chicken soup may not provide the necessary electrolytes and may contain ingredients that are difficult for an infant with acute diarrhea to digest.
Correct Answer is A
Explanation
A. Applying pressure just above the insertion site helps to control bleeding by compressing the vessel and promoting hemostasis.
B. Monitoring the pulse distal to the insertion site is important but should occur after controlling the bleeding.
C. Obtaining vital signs is important but does not address the immediate need to control bleeding.
D. Reinforcing the dressing may be necessary after controlling the bleeding but is not the first action to take.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.