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?
Mix the medication with 8 oz of formula.
Give an antiemetic.
Increase fluid intake.
Administer the next dose as prescribed.
The Correct Answer is D
A. Mixing the medication with formula may not be appropriate as the infant has vomited, and re-administering the medication immediately may result in overdosing.
B. Giving an antiemetic is not indicated unless ordered by the healthcare provider. It is important to follow specific orders in this situation.
C. Increasing fluid intake may not be advisable immediately after vomiting, especially in the context of heart failure. The infant may require evaluation for fluid status before increasing intake.
D. Administering the next dose as prescribed is the appropriate action unless contraindicated by specific circumstances or healthcare provider orders.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Examining the child for skin irritation at the cast edges is important to prevent complications, but it is not the priority over monitoring for circulation and potential complications.
B. Restricting strenuous activities is important for preventing damage to the cast, but it is not the priority over monitoring for circulatory compromise.
C. Monitoring for pallor or swelling in the child's affected hand is the priority because it indicates potential circulatory compromise, which is a critical concern following cast application.
D. Using a hair dryer on a cool setting to relieve itching is a helpful suggestion, but it is not the priority over monitoring for potential complications.
Correct Answer is C
Explanation
A. Warming goat's milk before feeding does not address the issue of nutritional adequacy or the potential allergenicity of goat's milk.
B. Soy milk may not be suitable for infants under 12 months old due to potential allergenicity and nutritional concerns.
C. Commercially prepared infant formula is the most appropriate option for infants who are having difficulty with breastfeeding or require an alternative to breast milk.
D. Reinitiating breastfeeding may not be feasible or appropriate if the infant is already having difficulty eating.
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