A nurse is providing care to an infant diagnosed with congestive heart failure. The health care provider has prescribed digoxin 5 micrograms/kg/day Vin 2 divided doses. The infant weighs 22 pounds. How many micrograms of digoxin should the nurse administer in each dose? Round your answer to 1 decimal place

Answer and Explanation

The Correct Answer is ["24.9"]

To calculate the dosage of digoxin for the infant, first convert the weight from pounds to kilograms, knowing that 1 pound is approximately 0.453592 kilograms. The infant weighs 22 pounds, which is equivalent to 22 * 0.453592 = 9.979024 kilograms. The prescribed dose is 5 micrograms per kilogram per day, so the total daily dose is 5 micrograms/kg * 9.979024 kg = 49.89512 micrograms per day. Since the medication is to be given in two divided doses, each dose should be half of the daily total. Therefore, each dose would be 49.89512 micrograms/day / 2 = 24.94756 micrograms per dose. Rounded to one decimal place, the nurse should administer 24.9 micrograms of digoxin per dose.

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Correct Answer is D

Explanation

A. Wrapping from the knee down is incorrect; the ankle should be wrapped from the toes up to provide proper compression.

B. Heat is not recommended immediately after a sprain, as it may increase swelling.

C. Bearing weight on the ankle too soon could worsen the injury.

D. Applying ice for the first 48 hours helps reduce swelling and pain, so this is the correct statement.

A. Apply a eutectic mixture of lidocaine and prilocaine cream topically 10 minutes prior to the procedure. B. Position the infant's chin flexed to their chest and knees flexed to their abdomen during the procedure. C. Keep the infant NPO for 6 hr prior the procedure. D. Place the infant in an infant seat for 2 hr following the procedure.

Correct Answer is B

Explanation

A. Applying lidocaine/prilocaine cream 10 minutes prior would not be sufficient; it generally requires 30–60 minutes to be effective.

B. Flexing the chin to the chest and knees to the abdomen is the correct positioning for an infant during a lumbar puncture.

C. Keeping an infant NPO for 6 hours is unnecessary before a lumbar puncture.

D. Placing the infant in an infant seat post-procedure is not required; flat positioning is generally advised.

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Naxlex Comprehensive Predictor Exams

A nurse is discharging a 12 year old client who came to the outpatient clinic with an ankle sprain with their parent. Which of the following statements should the nurse identify as an indication that the client and parent understand the discharge instructions?

Correct Answer is D

Explanation

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?

Correct Answer is B

Explanation

Clinical manifestations of acromegaly include: Choose all that applies: (Select All that Apply.)

A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?

The nurse is working closely with the parent of a 6-year-old client who was just diagnosed with attention deficit/hyperactivity disorder (ADHD), Which methods used in behavior modification would be appropriate for this child? SELECT ALL THAT APPLY

A nurse is teaching a school-age child who has type 1 diabetes mellitus and their parents about management during an illness. Which of the following instructions should the nurse include? (Select All that Apply.)

The clinic nurse talks with the parent of a child with Down syndrome. The parent states, "I thought my 1-year-old would be walking by now. I am concerned." What response by the nurse is best?

A 13 year old adolescent is brought to the Emergency Department after a near-drowning/submersion event. The child is coughing and having difficulty breathing. 02 saturation is 90% in room air, RR=26/min, HR=102/min. What is the priority intervention for the nurse to take?

A nurse is reviewing care for a 2 month old infant with developmental dysplasia of the hips who is placed in a Pavlik harness. Which statement by the caregiver indicates a need for further teaching?

A nurse is caring for an adolescent client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?