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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. Full exclusion from extracurricular activities is unnecessary and may limit social engagement.
B. Modifying physical activity can accommodate joint health and reduce strain, promoting physical and social well-being.
C. Early school hours are not indicated for this condition and may increase fatigue.
D. Swimming is often recommended as it is gentle on joints and provides exercise without excessive stress.
Correct Answer is B
Explanation
A. Irritability and difficulty feeding may indicate shunt malfunction, so monitoring these signs is appropriate.
B. VP shunts may require additional surgeries for adjustments, replacements, or complications, so this statement shows a misunderstanding.
C. The VP shunt does help drain excess cerebrospinal fluid from the brain to relieve pressure.
D. Increased intracranial pressure (ICP) from cerebrospinal fluid buildup is the reason for using the VP shunt.
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