A nurse is preparing to administer digoxin to a 16-month-old infant. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?

Answer and Explanation

The Correct Answer is ["90"]

In infants and young children, digoxin should be withheld if the apical heart rate is below 90 beats per minute to prevent the risk of digoxin toxicity, which can cause serious cardiac complications such as bradycardia or arrhythmias. Monitoring the apical heart rate before administration helps ensure the safe use of digoxin.

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Correct Answer is C

Explanation

A. While gastrointestinal symptoms like vomiting and diarrhea can occur, the primary concern in Kawasaki disease is cardiovascular.

B. Respiratory involvement is not typically the primary concern in Kawasaki disease, though respiratory symptoms may occur.

C. Kawasaki disease primarily affects the cardiovascular system, leading to inflammation of blood vessels and increased risk for coronary artery aneurysms.

D. The integumentary system (e.g., rash) is affected in Kawasaki disease, but cardiovascular monitoring is the most critical aspect.

A. Initiate contact precautions. B. Maintain the infant in the supine position. C. Provide a latex-free environment. D. Limit visitors to immediate family members.

Correct Answer is C

Explanation

A. Contact precautions are not typically necessary unless there is an active infection.

B. Maintaining the infant in the supine position is not a specific intervention for spina bifida and may not be necessary post-surgery.

C. A latex-free environment is crucial for infants with spina bifida due to a high risk of developing latex allergies.

D. Limiting visitors is not necessary unless the infant is immunocompromised or in isolation for infection control.

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A nurse is preparing to administer digoxin to a 16-month-old infant. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?

Correct Answer is C

Explanation

A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac? Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

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The nurse needs to administer an intramuscular (IM) injection to a 2-year-old child. Where is the best site to administer the injection?

A nurse is planning care for a newborn who has spinal bifida. Which of the following actions should be included in the plan of care?

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