A nurse is preparing to administer digoxin to a pediatric client who has heart failure. Which of the following actions is appropriate?

Instructing the client to eat foods that are low in potassium.

Repeat the dose if the client spits it out.

Measuring apical pulse rate for 30 seconds before administration.

Evaluating the client for nausea, vomiting, and anorexia.

Answer and Explanation

The Correct Answer is C

A. Clients on digoxin should actually have an adequate intake of potassium, as low potassium levels can increase the risk of digoxin toxicity.

B. If a pediatric client spits out digoxin, the dose should not be repeated automatically; instead, the nurse should assess the situation and follow the facility's protocol regarding missed doses.

C. Measuring the apical pulse for one full minute before administering digoxin is critical; if the pulse is below the established threshold (usually <60 bpm for children), the medication should be held and the provider notified.

D. While evaluating for nausea, vomiting, and anorexia is important, it is not an appropriate immediate action before administering the medication. The priority action is to assess the apical pulse.

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Correct Answer is A

Explanation

A. Giving pancreatic enzymes before snacks and meals is essential for children with cystic fibrosis to help with digestion and nutrient absorption due to their pancreatic insufficiency.

B. Children with CF often require increased salt intake, especially during hot weather or heavy exercise, due to higher salt losses in sweat.

C. A child with CF typically needs a high-calorie, high-fat diet to meet their energy requirements and to support growth, rather than low-fat meals with limited protein.

D. Limiting fluid intake is not recommended; children with CF often need to stay well-hydrated to help manage thick secretions and promote overall health.

A. Visualize the epiglottis with a tongue depressor. B. Transport the child to radiology for a throat x-ray. C. Obtain a throat culture. D. Place the child in an upright position.

Correct Answer is D

Explanation

A. Visualizing the epiglottis with a tongue depressor is contraindicated in suspected epiglottitis due to the risk of triggering airway obstruction.

B. Transporting the child to radiology for a throat x-ray is not a priority and can delay necessary interventions.

C. Obtaining a throat culture is not appropriate in this situation, as airway compromise can occur quickly, and immediate management is crucial.

D. Placing the child in an upright position helps ease breathing and can alleviate distress, which is vital for a child with suspected epiglottitis.

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A nurse is preparing to administer digoxin to a pediatric client who has heart failure. Which of the following actions is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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