The nurse is teaching parents about administering digoxin. What instructions should the nurse tell the parents?
If a dose is missed, give an extra dose
Give the medication mixed with the child’s formula
If the child vomits, give another dose
Give the medication at regular intervals
The Correct Answer is D
A. Giving an extra dose after a missed dose can lead to toxicity. Parents should skip the missed dose and not give two doses at once.
B. Digoxin should not be mixed with formula because it may affect the absorption of the medication.
C. If the child vomits, do not administer another dose. The nurse should instruct parents to monitor for vomiting and hold the dose if needed.
D. Giving the medication at regular intervals ensures consistent therapeutic levels and reduces the risk of toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Delayed motor development is not a typical feature of cystic fibrosis, though respiratory and nutritional issues may impact physical development.
B. Cystic fibrosis is autosomal recessive, not dominant, meaning both parents must carry the gene for the child to inherit the disease.
C. Pancreatic enzyme insufficiency occurs in cystic fibrosis, leading to poor digestion and malabsorption.
D. Thick, sticky mucus in the lungs and digestive tract is a hallmark of cystic fibrosis, causing respiratory and gastrointestinal issues.
E. Increased risk for lung infections is common due to mucus buildup in the lungs, which provides a breeding ground for bacteria.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
Effective (Helped Meet Expected Outcome)
Infant is pink and responsive to stimulation: Indicates improved oxygenation and neurological status.
Respirations: 69 breaths/min, saturation: 98% on 2L via HHFNC: Oxygenation has improved with supplemental oxygen, though the rate is still elevated. Nonetheless, SpO₂ is now within normal range.
Infant has a wet diaper: Suggests adequate hydration and renal perfusion, which is a positive outcome of supportive care.
Ineffective (Did Not Help Meet Expected Outcome):
Significant nasal congestion remains: Indicates suctioning or airway clearance interventions were insufficient or need to be repeated.
Subclavicular intercostal and subcostal retractions: Continued increased work of breathing means respiratory distress is still present.
Unrelated (Not Related to Expected Outcome):
Temperature is 100.7 °F: Mildly elevated, but not central to assessing respiratory effort or hydration in this scenario. It does not directly reflect effectiveness of current interventions for respiratory distress or hydration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.