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.".
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The red blood cell count is not typically elevated in leukemia. Leukemia primarily affects the white blood cells and their precursors in the bone marrow.
Choice B rationale:
Leukemia involves uncontrolled proliferation of white blood cells. An elevated white blood cell count, especially with abnormal cell types, can support the diagnosis of leukemia.
Choice C rationale:
Platelet count abnormalities are common in leukemia, but an elevated platelet count is more often associated with other conditions such as essential thrombocytosis, not necessarily leukemia.
Choice D rationale:
Hematocrit measures the volume of red blood cells in the blood and is not directly indicative of leukemia. Leukemia primarily affects white blood cells and does not significantly impact hematocrit levels.
Correct Answer is B
Explanation
"The healthcare provider will use the VCUG to view her urinary tract and bladder to see if everything is okay.”.
Choice A rationale:
Administering antibiotics or fixing underlying issues are not the purposes of a voiding cystourethrogram (VCUG). VCUG is a diagnostic imaging procedure used to visualize the urinary tract and bladder for structural abnormalities, not to administer treatments.
Choice B rationale:
This choice accurately reflects the purpose of a VCUG. It is a radiographic study that involves using contrast dye to visualize the urinary tract, helping healthcare providers identify any anatomical abnormalities or functional issues related to the bladder.
Choice C rationale:
The statement in Choice C is incorrect. VCUG is not used to administer antibiotics directly into the urinary tract. It is primarily a diagnostic procedure, not a treatment method.
Choice D rationale:
Choice D is inaccurate. A VCUG is not attached to the bladder, nor is it used for monitoring a child's ability to urinate over an extended period. It is a one-time imaging procedure.
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