A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Administer the next dose as prescribed
Mix the medication with 8 oz of formula
Give an antiemetic.
Increase fluid intake.
The Correct Answer is A
A. Vomiting after administering digoxin could be a sign of digoxin toxicity or intolerance. Before giving another dose, it is crucial to assess the infant’s condition, check for signs of digoxin toxicity, and consult with the healthcare provider. Administering the next dose without addressing the underlying issue could worsen the situation.
B. Mixing digoxin with a large volume of formula is not recommended. Digoxin should be administered in precise doses, and diluting it in such a large volume could lead to inaccuracies in dosing. Furthermore, mixing medication with formula does not address the issue of vomiting or potential toxicity.
C. While giving an antiemetic might seem like a solution to vomiting, it does not address the root cause of the vomiting, which could be related to digoxin toxicity or another issue. The first step should be to
assess the situation and determine if the vomiting is related to digoxin levels, and then consult with the healthcare provider. They may recommend appropriate interventions based on the infant’s condition.
D. Increasing fluid intake might be beneficial to prevent dehydration from vomiting, but it does not address the potential underlying cause of the vomiting, which could be related to digoxin toxicity. It is important to focus on the underlying cause and consult with the healthcare provider to determine the appropriate action. Managing fluid intake alone does not resolve the issue with digoxin or its side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Keeping the child’s nails trimmed and filed helps prevent excessive scratching that can lead to skin infections and worsening of dermatitis. It reduces the risk of injury to the skin and minimizes the potential for secondary infections from scratching.
B. This is a key recommendation for managing atopic dermatitis. Emollients (moisturizers) should be applied immediately after bathing to help lock in moisture and prevent the skin from becoming dry, which can exacerbate the condition. Moisturizing regularly helps to soothe the skin and reduce itching.
C. Applying gloves or mittens can be helpful in preventing the child from scratching and irritating the skin. This is especially useful at night to minimize scratching while the child is asleep.
D. Using a mild, fragrance-free detergent is important to prevent irritation of the skin. Harsh chemicals and fragrances in regular detergents can exacerbate atopic dermatitis and irritate sensitive skin.
E. It is realistic to inform the guardian that atopic dermatitis is a chronic condition with potential flare- ups. Understanding that flare-ups are a normal part of the condition can help the guardian manage expectations and better cope with the condition over time.
F. Atopic dermatitis is not contagious. It is an allergic condition related to immune system dysfunction and genetic factors, not an infectious disease. Therefore, it cannot be spread to others.
G. While pimecrolimus cream is an effective treatment for atopic dermatitis, it should be applied according to the provider's instructions, which generally involve applying a thin layer rather than a thick layer. Overapplication can lead to potential side effects or diminished effectiveness.
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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