A nurse on a cardiac care unit is caring for a preschooler.
Drag words from the choices below to fill in each blank in the following sentence.
The client is at risk for developing and
The Correct Answer is {"dropdown-group-1":"F","dropdown-group-2":"E"}
Target 1: Digitalis toxicity
The child has been administered digoxin, a cardiac glycoside, multiple times. Digitalis toxicity is a risk due to the narrow therapeutic window of digoxin and the potential for adverse effects, especially if there are signs of worsening heart failure or electrolyte imbalances.
Target 2: Hypokalemia
The administration of furosemide, a loop diuretic, increases the risk of hypokalemia (low potassium levels). Hypokalemia can occur as a result of diuretic therapy and can exacerbate the risk of digitalis toxicity, as digoxin toxicity is often linked to low potassium levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A storybook may provide comfort and information but is less interactive in helping the child process the experience of injections.
B. Playing in the playroom is beneficial for normalizing hospital stays but does not directly address the child’s distress regarding injections.
C. A video game can be a good distraction but does not provide therapeutic engagement with the fear or anxiety related to injections.
D. Allowing the child to play with a needleless syringe and a doll is therapeutic as it gives the child a sense of control and understanding of the injection process, helping to reduce fear and anxiety.
Correct Answer is A
Explanation
A. When mixing insulins, the short-acting insulin should be drawn into the syringe first to avoid contamination of the short-acting insulin with the long-acting insulin.
B. Insulin should be administered subcutaneously, not intramuscularly, and the sites should be rotated to avoid lipodystrophy.
C. Insulin should be administered at a 90-degree angle, not 30 degrees, to ensure proper subcutaneous delivery.
D. Wiping the needle with an alcohol swab is unnecessary and could introduce contaminants.
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