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The nurse is caring for an infant with a diagnosis of VSD that weighs 3200g. The healthcare provider has prescribed digoxin 15mcg/kg/day given in divided doses every 8 hours. Digoxin is supplied .05mg/mL. Calculate how many mL of digoxin you will administer to your client per dose. Round to the nearest hundredth.

Answer and Explanation

The Correct Answer is ["0.32"]

1. Calculate the total daily dose:

Total daily dose (mcg) = Dose per kg (mcg/kg) x Weight (kg)

Total daily dose (mcg) = 15 mcg/kg x 3.2 kg = 48 mcg

2. Calculate the dose per administration:

Dose per administration (mcg) = Total daily dose (mcg) / Number of doses per day

Dose per administration (mcg) = 48 mcg / 3 doses = 16 mcg

3. Calculate the volume to administer:

Volume (mL) = Dose per administration (mcg) / Concentration (mcg/mL)

Volume (mL) = 16 mcg / 50 mcg/mL = 0.32 mL

Therefore, you will administer 0.32 mL of digoxin to your client per dose.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Corticosteroids are not a routine treatment for CF pulmonary function.

B. Continuous oxygen therapy is not the primary intervention in CF unless advanced disease necessitates it.

C. Antibiotics are essential for infection management, but not the main therapeutic approach for pulmonary function.

D. Chest physiotherapy helps in mobilizing and clearing thick mucus from the lungs, a critical aspect of managing cystic fibrosis.

A. Dilated scalp veins B. A backward sloping appearance of the forehead. C. Hypertension D. Over-riding suture lines

Correct Answer is A

Explanation

A. Dilated scalp veins are a common finding in newborns with hydrocephalus due to increased intracranial pressure.

B. A backward sloping forehead is more characteristic of certain craniofacial anomalies, not typically hydrocephalus.

C. Hypertension is not a common finding in newborns with hydrocephalus; it is more likely to be hypotension due to decreased cerebral perfusion.

D. Over-riding suture lines may occur in craniosynostosis or severe cases of increased intracranial pressure, but it is not a defining feature of hydrocephalus.

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Which is the most important therapeutic approach to promote pulmonary function for the client with cystic fibrosis?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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