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.

Answer and Explanation

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.

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Correct Answer is ["A"]

Explanation

Given the child's recent motor vehicle accident and subsequent orthopedic surgeries, assessing the peripheral circulation is crucial. Comparing pedal pulses helps to determine the adequacy of blood flow to the lower extremities and identify any potential complications such as compartment syndrome. This assessment should be prioritized immediately.

While assessing pain, sedation level, and rechecking temperature are all important, they do not take precedence over assessing the child's circulation and perfusion status following major orthopedic surgeries.

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 an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is 2 hr postoperative. Exhibits Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

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Explanation

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

Explanation

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