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 C

Explanation

A. Presence of Dance sign. – Incorrect. Dance sign (absence of bowel sounds in the right lower quadrant) is associated with intussusception, not pyloric stenosis.

B. Always seems full. – Incorrect. Babies with pyloric stenosis initially feed well but develop progressive vomiting and hunger after feeds.

C. Projectile vomiting. – Correct. Pyloric stenosis causes forceful, non-bilious projectile vomiting due to gastric outlet obstruction.

D. Excessive weight gain. – Incorrect. Infants with pyloric stenosis typically experience weight loss or poor weight gain due to vomiting.

A. facilitate proper feeding and swallowing in the infant B. promote comfort and relaxation in the infant C. prevent the infant from injuring the repair site D. encourage the infant to use their arms and hands for exploration

Correct Answer is C

Explanation

A. Facilitate proper feeding and swallowing in the infant. – Incorrect. Feeding modifications are needed, but elbow restraints do not assist with swallowing.

B. Promote comfort and relaxation in the infant. – Incorrect. Restraints prevent disruption of the surgical site but do not specifically provide comfort.

C. Prevent the infant from injuring the repair site. – Correct. Elbow restraints prevent the infant from touching or rubbing the surgical site, reducing the risk of wound dehiscence.

D. Encourage the infant to use their arms and hands for exploration. – Incorrect. The purpose of the restraints is to limit arm movement, not promote exploration.

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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 newborn who may have pyloric stenosis. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

What is the primary purpose of using elbow restraints (NoNo's) in an infant following a cleft lip repair surgery? To:

Correct Answer is C

Explanation

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