A nurse is providing teaching to the caregiver of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include?
"Digoxin may decrease your baby's heart rate."
"If your baby vomits a dose, do not repeat the dose to ensure that the correct amount is received."
"Give the correct dose of medication at regularly scheduled times."
"Do not offer your baby fluids after giving the medication."
The Correct Answer is C
Choice A reason: Digoxin is used to treat heart conditions by slowing the heart rate and increasing its efficiency. It does not increase the heart rate. The normal heart rate for a 12-month-old infant ranges from 80 to 160 beats per minute.
Choice B reason: If an infant vomits after taking digoxin, repeating the dose could lead to toxicity. Instead, caregivers should wait until the next scheduled dose or contact a healthcare provider for guidance.
Choice C reason: Administering digoxin at regular intervals ensures consistent therapeutic levels in the bloodstream, which is crucial for the medication's efficacy and safety.
Choice D reason: Offering fluids after medication does not interfere with digoxin's absorption. However, caregivers should be aware of the signs of digoxin toxicity, which include vomiting, lethargy, and bradycardia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hyperventilation can be a sign of oxygen toxicity as the body attempts to balance oxygen and carbon dioxide levels.
Choice B reason: Increased blood pressure is not typically a direct sign of oxygen toxicity; it may be related to other underlying conditions.
Choice C reason: Decreased PaCO2 can be a result of hyperventilation, which is a compensatory mechanism in response to oxygen toxicity.
Choice D reason: Unconsciousness can be a severe sign of oxygen toxicity, indicating a high level of oxygen in the blood affecting brain function.
Correct Answer is C
Explanation
Choice A reason: A platelet count of 200,000/mm is within the normal range and does not need to be reported.
Choice B reason: A hematocrit of 40% is also within the normal range for a preschooler and does not require reporting.
Choice C reason: A blood protein level of 5.0 g/dL is low and indicative of nephrotic syndrome, which can lead to serious complications if not addressed.
Choice D reason: A hemoglobin level of 14.5 g/dL is within the normal range and does not need to be reported.
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