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 B
Explanation
A. While inappropriate parental concern can raise suspicion, it is subjective and not as reliable or definitive as physical evidence and history.
B. The most important and objective red flag for suspected child abuse is when the injury does not match the explanation given. This incompatibility strongly suggests that the injury may have been caused intentionally or through neglect, and it warrants immediate reporting.
C. A child’s response can be influenced by fear, trauma, or developmental stage and is not always a clear indicator of abuse.
D. Absence of parents may be suspicious, but it does not confirm abuse and is not sufficient alone to report without supportive findings.
Correct Answer is D
Explanation
A. Preparing the family for imminent death is premature and inappropriate as the first action. Hyper-cyanotic spells (Tet spells) are medical emergencies but often reversible with prompt intervention.
B. CPR is not the first response unless the child is unresponsive and pulseless. Tet spells are managed with specific interventions to reduce hypoxia.
C. Assessing for neurological defects may be important later, but during an acute Tet spell, the priority is to restore oxygenation and stabilize the child.
D. The first action during a Tet spell is to administer oxygen to reduce pulmonary vasoconstriction and improve oxygenation. This is often followed by placing the child in a knee-chest position, giving morphine, and preparing for further medical support as needed. Oxygen is the most immediate, non-invasive intervention.
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.