A nurse is preparing to administer digoxin to a 12 year-old child. Prior to administering the dose. the nurse measures the apical heart rate. The nurse should withhold the dose if the child's apical heart rate is less than what rate?

Answer and Explanation

The Correct Answer is ["70"]

The nurse should withhold digoxin if the child's apical heart rate is less than 70 beats per minute because digoxin slows the conduction of electrical signals in the heart and increases the force of cardiac contraction. While this helps to treat conditions like heart failure and arrhythmias, it can also lead to bradycardia. Administering digoxin when the heart rate is already too low increases the risk of adverse effects like severe bradycardia or even cardiac arrest.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

Hypoxia (Low Oxygen Levels): The child's oxygen saturation has decreased from 95% to 93% on room air, which indicates a decline in oxygenation. Although this level is still within an acceptable range, a further drop could indicate respiratory compromise, especially with signs of labored breathing and a nonproductive cough.

Rationale for incorrect options:

Hypotension: The child's blood pressure remains stable (110/64 mm Hg), ruling out a significant risk of hypotension.

Constipation: While the child has hypoactive bowel sounds and hasn't had a bowel movement in two days, this does not pose the most immediate risk.

Dehydration: The child voided 200 mL of clear, yellow urine, suggesting adequate hydration status.

A. Application of scented lotions B. Frequent use of sunscreen C. Identification of triggers D. Use of topical corticosteroids E. Scrubbing of the affected area

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

Explanation

A. Application of scented lotions – Incorrect. Scented lotions can irritate the skin and should be avoided.

B. Frequent use of sunscreen – Correct. Sunscreen prevents irritation from sun exposure, which can worsen symptoms.

C. Identification of triggers – Correct. Avoiding allergens or irritants that trigger flare-ups is a key management strategy.

D. Use of topical corticosteroids – Correct. Topical corticosteroids help reduce inflammation and itching.

E. Scrubbing of the affected area – Incorrect. Scrubbing can further irritate the skin and worsen symptoms.

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A nurse is preparing to administer digoxin to a 12 year-old child. Prior to administering the dose. the nurse measures the apical heart rate. The nurse should withhold the dose if the child's apical heart rate is less than what rate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child who was involved in a motor vehicle crash. Exhibits Complete the following sentence by using the list of options. The child is at highest risk for developing dropdown evidenced by the client’s dropdown.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

A nurse is planning interventions for a client who has atopic dermatitis. Which of the following interventions should the nurse prioritize for controlling manifestations of the condition? (Select All that Apply.)

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

Explanation

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