A nurse is reinforcing teaching with the caregivers of an infant who has a prescription for digoxin. Which of the following statements should the nurse make?
"If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received."
"Do not offer your baby fluids after giving the medication."
"Digoxin increases your baby's heart rate."
"Give the correct dose of medication at regularly scheduled times."
The Correct Answer is D
A. "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received.": If the baby vomits the dose, the caregiver should not repeat the dose unless instructed by the healthcare provider.
B. "Do not offer your baby fluids after giving the medication.": Digoxin can be given with fluids, and withholding fluids is not necessary unless specified by a healthcare provider.
C. "Digoxin increases your baby's heart rate.": Digoxin slows the heart rate, which helps in treating conditions like heart failure or arrhythmias.
D. "Give the correct dose of medication at regularly scheduled times.": Regularity in administration is crucial to maintaining therapeutic drug levels and preventing toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Squatting increases the return of venous blood flow to the heart: Squatting increases systemic vascular resistance and venous return, which helps to increase oxygenation in children with Tetralogy of Fallot, as it reduces the right-to-left shunting and increases blood flow to the lungs.
B. Squatting in common resting position when a child is tachycardic: While squatting can be used to manage symptoms, this answer is misleading as squatting specifically helps in increasing blood flow and decreasing the symptoms of cyanosis in Tetralogy of Fallot, not just during tachycardia.
C. Squatting decreases arterial blood flow away from the heart: Squatting actually increases blood flow to the heart and lungs by increasing systemic vascular resistance.
D. Squatting increases the workload of the heart: Squatting helps reduce the workload on the heart in Tetralogy of Fallot by improving oxygenation and decreasing cyanosis.
Correct Answer is B
Explanation
A. Encourage the child to take deep breaths: While deep breaths may help improve oxygenation, the first action should be confirming that the monitoring device is correctly placed and providing accurate readings.
B. Ensure proper placement of the sensor probe: Incorrect placement of the sensor probe (e.g., on a fingernail or a cold extremity) can lead to inaccurate oxygen saturation readings. Ensuring proper placement is the priority to verify the accuracy of the reading.
C. Place the child in the Fowler's position: Fowler's position can help with breathing, but before making this change, the nurse should first verify that the pulse oximeter is working correctly.
D. Increase the oxygen flow rate: Increasing the oxygen flow rate may be necessary if the child’s oxygen saturation remains low, but the first step is to ensure the monitoring device is accurate.
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