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 A
Explanation
A. This response is clear, professional, and factual. Nurses are mandated reporters and are legally obligated to report any suspicion of child abuse, regardless of confirmation. This statement provides an appropriate explanation without placing blame or making accusations.
B. While involving a supervisor can be helpful, avoiding the question may increase tension and does not clarify the nurse’s legal duty.
C. Deflecting to the provider fails to acknowledge the nurse’s role and responsibility in mandated reporting.
D. This response shifts responsibility and may imply blame or avoid accountability, which is not appropriate or professional.
Correct Answer is A
Explanation
A. This statement reflects a proper understanding of the peak flow meter’s purpose — it can help detect early changes in airway function before symptoms are felt, allowing for early intervention and improved asthma control.
B. This reflects a misunderstanding of the correct technique — the meter should be reset to zero before each use, and the child should use a full, fast breath to blow into the meter.
C. While daily monitoring is helpful, the peak flow meter does not prevent asthma attacks — this statement reflects false reassurance and misunderstanding.
D. Peak flow should be measured with a single, forceful breath, not multiple breaths — this indicates incorrect use of the device.
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.