What anticipatory guidance should you give to the parents of a child who must take digoxin?
Digoxin must be administered with food.
Only give if the child's heart rate is less than 60 beats/minute
Observe for nausea and vomiting
Re-dose the child if the child vomits the first dose.
The Correct Answer is C
A. Digoxin does not need to be given with food, and food may actually alter its absorption. It's best given at the same time each day, either with or without food, depending on the provider's recommendation.
B. The heart rate threshold for holding digoxin in children is generally less than 90–110 beats/min in infants and less than 70 in older children, not 60 bpm, which is the adult guideline.
C. Nausea and vomiting are early signs of digoxin toxicity. Parents should be taught to observe for these symptoms and report them immediately.
D. If a child vomits after taking digoxin, the dose should not be repeated, as it is impossible to know how much was absorbed, and repeating could cause toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The pressure dressing is usually removed within 24 hours, not left on for 7 days. Extended dressing use may increase the risk of skin irritation or infection.
B. Strict bed rest is typically recommended for a few hours after the procedure, not for three days. Most adolescents can resume light activity within 24 hours.
C. After a cardiac catheterization, tub baths should be avoided for 2–3 days to prevent infection at the insertion site, but showering is generally safe the next day, provided the site is protected and not scrubbed.
D. Returning to school is typically permitted within 1 to 2 days after the procedure, depending on the child’s condition and physician recommendations—Band-Aid removal is not a relevant factor in determining return to school.
Correct Answer is ["A","C","D","E"]
Explanation
A. Stridor is a hallmark sign of upper airway obstruction and is commonly present in epiglottitis.
B. A dry, barking cough is more characteristic of croup (laryngotracheobronchitis), not epiglottitis.
C. Difficulty swallowing (dysphagia) occurs due to inflammation and swelling of the epiglottis.
D. Drooling is a key symptom because the child is unable or unwilling to swallow secretions due to pain and obstruction.
E. Hoarseness and difficulty speaking (muffled or "hot potato" voice) are common due to swelling near the vocal cords and larynx.
F. Epiglottitis typically presents with a sudden high-grade fever, not a low-grade one.
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