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 A
Explanation
Choice A rationale:
Monitoring urine protein is crucial in pediatric patients with nephrotic syndrome. Nephrotic syndrome involves damage to the glomeruli in the kidneys, causing excessive protein loss in the urine, leading to hypoalbuminemia and edema.
Choice B rationale:
Urine pH is not typically a primary concern in nephrotic syndrome. This condition is more focused on proteinuria, hypoalbuminemia, and edema.
Choice C rationale:
Leukocytes in the urine may indicate a urinary tract infection (UTI), but this is not a hallmark feature of nephrotic syndrome. UTIs are not the primary concern in this scenario.
Choice D rationale:
Ketones in the urine could indicate diabetic ketoacidosis or starvation, which are not directly related to nephrotic syndrome. Ketones are not a key indicator in nephrotic syndrome assessment.
Correct Answer is ["B","C"]
Explanation
Choice A rationale:
Hypoplastic left heart syndrome involves inadequate development of the left side of the heart, leading to systemic hypoperfusion. It is characterized by decreased pulmonary blood flow due to underdeveloped left heart structures.
Choice B rationale:
Tetralogy of Fallot is characterized by obstruction to blood flow, specifically pulmonary stenosis, which obstructs blood flow from the right ventricle to the pulmonary artery.
Choice C rationale:
Atrial Septal Defect (ASD) is a left-to-right shunt, leading to increased pulmonary blood flow. This occurs because oxygenated blood from the left atrium flows back into the right atrium and then into the pulmonary circulation.
Choice D rationale:
Aortic Stenosis is not correctly matched with its hemodynamic classification. Aortic stenosis involves obstruction to blood flow from the left ventricle to the aorta.
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