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 C
Explanation
Choice A rationale:
Baclofen from an intrathecal pump primarily affects muscle tone and spasticity, not seizure medications .
Choice B rationale:
Baclofen use generally leads to a reduction in dystonia , not an increase. It's used to manage spasticity, not exacerbate it.
Choice C rationale:
The correct answer. Baclofen administered via an intrathecal pump is intended to reduce muscle tone and spasticity, improving mobility and comfort for patients with conditions like cerebral palsy.
Choice D rationale:
Baclofen doesn't typically cause decreased mobility . In fact, its use is expected to enhance mobility by reducing spasticity.
Correct Answer is A
Explanation
Choice A rationale:
Expiratory wheezing is characteristic of asthma exacerbation. It indicates airway constriction and narrowing, leading to difficulty in exhaling and resulting in a high-pitched sound during expiration.
Choice B rationale:
Inspiratory crackle is not typically associated with asthma. Crackles are often heard in conditions involving fluid-filled airways, such as pneumonia.
Choice C rationale:
Expiratory grunting is not a common finding in asthma. Grunting sounds may be present in infants with respiratory distress, indicating the difficulty they experience while exhaling.
Choice D rationale:
Inspiratory stridor is not a usual manifestation of asthma. Stridor is more commonly related to upper airway obstruction, often seen in croup or epiglottitis.
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