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 D

Explanation

A. Bradycardia, rapid weight gain, and irritability. – Incorrect. Tachycardia (not bradycardia) is more concerning in worsening heart failure.

B. Cough, edema, and increased work of breathing. – Incorrect. These symptoms can occur but are less specific to worsening heart failure in infants.

C. Abdominal pain, poor appetite, and cough. – Incorrect. While appetite changes may occur, abdominal pain is not a classic sign of heart failure in infants.

D. Tachypnea and diaphoresis with feeding, poor weight gain, and irritability. – Correct. Infants with worsening heart failure experience increased respiratory effort, sweating with feeds (due to exertion), failure to thrive, and fussiness due to poor oxygenation.

A. resume playing on their soccer team next year. B. only participate in nonphysical activities from now on." C. participate in noncontact sports like swimming as they grow." D. engage in any sports once the incision heals.

Correct Answer is C

Explanation

A. Resume playing on their soccer team next year. – Incorrect. Contact sports pose a risk of injury to the remaining kidney and should be avoided.

B. Only participate in nonphysical activities from now on. – Incorrect. While high-impact sports should be avoided, moderate noncontact physical activity is encouraged for overall health.

C. Participate in noncontact sports like swimming as they grow. – Correct. Noncontact sports like swimming, running, or cycling are safe options.

D. Engage in any sports once the incision heals. – Incorrect. Some sports pose a risk of kidney injury and should be avoided.

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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 providing care for an infant who has heart failure and is being discharged from the hospital. When providing discharge education. which of the following clinical manifestations should the nurse ensure caregivers are able to identify as signs of worsening heart failure?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to the caregiver of a 3•year•old client with Wilms' tumor who is being discharged after a nephrectomy. Which of the following statements indicates the caregiver understands the activity restrictions now that the client has one kidney? "My child can:

Correct Answer is C

Explanation

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