The nurse is preparing a patient for discharge and teaching the parents about the home use of digoxin. Which statement by the mother would indicate a good understanding of the instructions?

"I'll add the medication to two ounces of diluted orange juice.".

"I'll be sure that my child has had something to eat or drink during the hour before I give the medication.".

"As long as my child's pulse is over forty, I'll give the medication.".

"I'll give the medication from the calibrated dropper I use to measure the medication.".

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Adding medication to orange juice is not recommended for digoxin administration. This can affect the drug's absorption and potency due to interactions with food components.

Choice B rationale:

Ensuring the child has had food or drink before giving the medication is crucial for digoxin administration. Food in the stomach can help mitigate gastrointestinal irritation and enhance drug absorption.

Choice C rationale:

A pulse over forty is too low for digoxin administration. The typical guideline is usually a pulse rate over 60 in pediatric patients before administering digoxin.

Choice D rationale:

Using a calibrated dropper for medication administration is not the standard method for digoxin. Precision in dosing is essential for this drug, and using a calibrated oral syringe or dropper is recommended to accurately measure the dose.

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Correct Answer is A

Explanation

Choice A rationale:

The statement "My child will likely experience long-term complications, such as difficulty eating”. indicates a misunderstanding about the postoperative care following a pyloromyotomy. Pyloromyotomy is a surgical procedure to treat pyloric stenosis, and the goal is to relieve the obstruction causing feeding difficulties. Long-term complications such as difficulty eating are not expected outcomes. The rationale behind this is that pyloromyotomy aims to improve feeding and resolve the obstruction, leading to improved eating habits.

Choice B rationale:

The statement "A few hours after surgery, my child will receive small, frequent feedings of Pedialyte”. is correct. After a pyloromyotomy, it's important to gradually reintroduce feeding. This statement demonstrates the caregiver's understanding of the postoperative feeding plan, which typically involves starting with clear fluids like Pedialyte.

Choice C rationale:

The statement "My child will most likely have a small incision from the laparoscopic surgery”. is incorrect. Pyloromyotomy is usually performed with a small incision, but it is not typically done laparoscopically. Instead, an open surgical approach is more common due to the nature of the procedure. Laparoscopy is not the usual method for this surgery.

Choice D rationale:

The statement "I can breastfeed my child if the Pedialyte feedings are tolerated after 24 hours”. is incorrect. After a pyloromyotomy, it's essential to follow a gradual feeding progression under medical guidance. Breastfeeding can be reintroduced gradually as the child tolerates oral feedings, but it's not solely dependent on 24 hours of Pedialyte tolerance.

A. Replacing the dressing if bleeding is noted. B. Positioning the child in a flat-lying position. C. Monitoring the pulses distal to the site. D. Checking the vital signs every 15 minutes.

Correct Answer is B

Explanation

Choice A rationale:

Replacing the dressing if bleeding is noted is appropriate as it helps maintain a clean and sterile site post-catheterization.

Choice B rationale:

Positioning the child in a flat-lying position immediately after cardiac catheterization is incorrect. The child should be placed in a specific position, such as semi-Fowler's, to avoid complications and promote comfort.

Choice C rationale:

Monitoring the pulses distal to the site is essential to assess circulation and potential complications after the procedure.

Choice D rationale:

Checking the vital signs every 15 minutes is appropriate post-catheterization to detect any hemodynamic changes or complications.

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The nurse is preparing a patient for discharge and teaching the parents about the home use of digoxin. Which statement by the mother would indicate a good understanding of the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement indicates a child's family needs further instruction about the postoperative care following a pyloromyotomy?

Correct Answer is A

Explanation

A nurse takes all of these actions when caring for a 13-year-old who just returned from a cardiac catheterization. Which action is incorrect and requires further discussion?

Correct Answer is B

Explanation

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