The nurse is preparing to administer the daily maintenance dose of digoxin to an infant:
Infant's Weight: 5kg
Order: Administer 4mcg/kg/day
Safe Dose: 3.4 to 5.1 mcg/kg/day
Label: 0.25 mg/5mL

Answer and Explanation

The Correct Answer is ["0.4"]

To calculate the daily maintenance dose of digoxin for the infant, we first convert the ordered amount from micrograms to milligrams: 4 mcg/kg/day is equivalent to 0.004 mg/kg/day. For an infant weighing 5 kg, the daily dose would be 0.004 mg/kg/day * 5 kg = 0.02 mg/day. Now, using the concentration provided on the label, which is 0.25 mg/5 mL, we can find out how many milliliters would equate to the required daily dose. This is done by setting up a proportion: (0.25 mg / 5 mL) = (0.02 mg / X mL). Solving for X gives us X = (0.02 mg * 5 mL) / 0.25 mg, which equals 0.4 mL.

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Correct Answer is D

Explanation

A. Prone and in full Trendelenburg position is not appropriate as it could increase intracranial pressure and compromise breathing.
B. Supine with head slightly elevated is not suitable because it can put pressure on the myelomeningocele sac.
C. Side-lying with head slightly elevated is also not ideal as it can lead to pressure on the sac.
D. Prone with hips flexed and legs abducted is the best position to avoid pressure on the myelomeningocele sac, prevent trauma, and reduce the risk of infection before surgical repair.

A. "There is currently no treatment available for graft vs host disease." B. "Your child will need to undergo a full cycle of high dose chemotherapy again." C. "It is the responsibility of the oncologist to determine the treatment plan." D. Typically we start by giving steroids and immunosuppressive drugs."

Correct Answer is D

Explanation

A. This statement is incorrect as there are treatments available for graft versus host disease (GVHD).
B. Chemotherapy is not typically used to treat GVHD.
C. While the oncologist will determine the treatment plan, this response does not provide the parents with helpful information.
D. The most common initial treatment for GVHD involves steroids and immunosuppressive drugs. This response provides accurate information and addresses the parents' concerns.

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The nurse is preparing to administer the daily maintenance dose of digoxin to an infant: Infant's Weight: 5kg Order: Administer 4mcg/kg/day Safe Dose: 3.4 to 5.1 mcg/kg/day Label: 0.25 mg/5mL

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that in the preoperative period the infant with a myelomeningocele must be placed in which of the following positions?

Correct Answer is D

Explanation

The nurse is caring for a child post bone marrow transplantation who has been diagnosed with graft versus host disease. The parents ask the nurse how this will be treated. Which of the following would be the nurse's BEST response?

Correct Answer is D

Explanation

A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?

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The nurse is preparing to administer the daily maintenance dose of digoxin to an infant: Infant's Weight: 5kg Order: Administer 4mcg/kg/day Safe Dose: 3.4 to 5.1 mcg/kg/day Label: 0.25 mg/5mL

The nurse is caring for a child with an intellectual disability due to Down's Syndrome. The nurse understands that it is important to provide developmentally appropriate care. Which of the following will help to meet this need?

A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, is prescribed digoxin and furosemide. Which of the following assessment findings are MOST concerning?

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The nurse is preparing to administer the daily maintenance dose of digoxin to an infant:
Infant's Weight: 5kg
Order: Administer 4mcg/kg/day
Safe Dose: 3.4 to 5.1 mcg/kg/day
Label: 0.25 mg/5mL