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 C
Explanation
A. Temporal: The temporal pulse is difficult to palpate accurately in infants, so it is not the most reliable site to assess the pulse.
B. Dorsalis pedis: The dorsalis pedis pulse is located in the foot and is not as reliable for infants, as it can be difficult to palpate, especially in younger infants.
C. Apical: The apical pulse is the most reliable site to assess pulse in infants, as it is easily accessible and is directly over the heart. This is the preferred site for infants under 2 years old.
D. Carotid: The carotid pulse is sometimes used in emergencies but is not the most reliable or common site for routine pulse checks in infants, as it can be difficult to assess in younger infants.
Correct Answer is C
Explanation
A. A 12-year-old client who had an appendectomy and refuses to ambulate: Refusal to ambulate post-appendectomy may be concerning for complications like constipation or post-operative discomfort, but it is not an immediate emergency unless accompanied by other signs of complications like infection or bleeding.
B. An 18-month-old client who had a cleft palate repair and is crying in pain: Pain is expected following surgery, and while it should be addressed promptly, it does not constitute an immediate emergency unless there are signs of distress or complications.
C. An 8-year-old client who had a tonsillectomy and is swallowing frequently: Frequent swallowing after a tonsillectomy can indicate bleeding, which is a potential complication requiring immediate attention. It is important to assess for signs of bleeding, such as increased swallowing or a change in respiratory status.
D. A 15-year-old client who has an IV infusion and reports pain at the insertion site: Pain at the IV insertion site could indicate a complication like infiltration or phlebitis, but it is not an immediate emergency unless associated with other severe symptoms (e.g., swelling or systemic infection).
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