When teaching a parent about the administration of digoxin elixir to a 4-year-old child, which of the following instructions should the nurse include?
Give water to the child to rinse their mouth after administration to prevent tooth decay.
Administer the medication with a high-fiber meal.
Check the child's heart rate before administration and hold the dose if the heart rate is greater than 70 BPM.
Use a regular household spoon to measure the medication.
The Correct Answer is A
A. Giving water after digoxin elixir helps rinse the mouth and teeth, reducing the risk of tooth decay caused by the sweetened solution.
B. Digoxin should not be administered with high-fiber foods, as fiber can decrease its absorption.
C. The nurse should hold digoxin if the heart rate is below 70 BPM in children, not above.
D. Household spoons are inaccurate for dosing; an oral syringe or calibrated device should be used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Giving water after digoxin elixir helps rinse the mouth and teeth, reducing the risk of tooth decay caused by the sweetened solution.
B. Digoxin should not be administered with high-fiber foods, as fiber can decrease its absorption.
C. The nurse should hold digoxin if the heart rate is below 70 BPM in children, not above.
D. Household spoons are inaccurate for dosing; an oral syringe or calibrated device should be used.
Correct Answer is A
Explanation
A. A series of casts will be made for the infant soon after birth. The Ponseti method, the gold standard for treating clubfoot, involves gentle manipulation of the foot and application of a series of plaster casts that are changed weekly. This treatment usually begins shortly after birth to take advantage of the newborn’s soft tissues and bones, which are more easily repositioned.
B. An orthotic brace at 6 months of age is not the initial treatment. Bracing is used later in the treatment process after the foot has been corrected with casting to maintain alignment and prevent relapse.
C. Surgery performed in utero is not a treatment option for clubfoot. In severe cases unresponsive to casting, surgery may be required after birth, but intrauterine correction is not standard practice.
D. Monitoring and physical therapy alone are not sufficient to correct clubfoot. Without casting or surgical intervention, the deformity will persist and lead to long-term mobility issues.
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