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.
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Related Questions
Correct Answer is C
Explanation
A. "Are you aware that your son will have to be in isolation?": Acute rheumatic fever does not typically require isolation, so this is not the most relevant question.
B. "Has your child had any injuries recently?": This question is not specifically related to acute rheumatic fever, which is caused by a preceding streptococcal throat infection, not injuries.
C. "Has your son had a sore throat recently?": This is the most appropriate question, as acute rheumatic fever is a complication that can follow a streptococcal throat infection, so identifying a history of recent sore throat is key.
D. "Was your son born with this cardiac defect?": Rheumatic fever is an acquired condition, not a congenital defect.
Correct Answer is C
Explanation
A. Ice Hockey: Cold temperatures and physical exertion can trigger a sickle cell crisis by causing vasoconstriction and hypoxia.
B. Tackle American Football: High-impact, strenuous activities increase oxygen demand, putting the child at risk for a crisis.
C. Art Club: A non-strenuous activity that avoids physical strain, dehydration, or extreme temperatures, making it safe for children with sickle cell anemia.
D. Basketball: While it’s not as physically demanding as some sports, it still involves moderate to intense exertion, which could precipitate a crisis.
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