A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

A toddler who has an apical pulse of 100/min

A toddler who has a potassium level of 4.0 mEq/L (3.4 to 4.7 mEq/L)

A toddler who has a digoxin level of 1.2 ng/mL (0.8 to 2 ng/mL)

A toddler who has vomited 2 times in the last hour

Answer and Explanation

The Correct Answer is D

A.   A normal apical pulse for a toddler is around 90-140 beats per minute. This toddler's heart rate is within normal range.
B.   This toddler's potassium level is within the normal range.
C.   This toddler's digoxin level is within the therapeutic range.
D.   Vomiting can be a sign of digoxin toxicity. Digoxin has a narrow therapeutic index, meaning that even small increases in the drug level can lead to toxicity.

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Correct Answer is D

Explanation

A. Toddlers are typically moving towards independence, not increased dependency. This is a stage of exploration and asserting their autonomy.
B. Toddlers are known for their intense emotions and rapid mood swings. This is a normal part of their development.
C. While toddlers can be unpredictable, they often thrive on routines. However, they also enjoy exploring new things, which can sometimes lead to resistance to established routines.
D. The "terrible twos" is a common phrase for a reason. Toddlers often assert their independence through negative responses, such as saying "no" or throwing tantrums.

A. Engages in parallel play B. Builds a tower of 3 blocks C. Walks with assistance D. Speaks at least 10 words

Correct Answer is C

Explanation

A. This is typical behavior for an 18-month-old toddler. They often play alongside others without interacting directly.
B. This is a normal developmental milestone for an 18-month-old child.
C. An 18-month-old child should be able to walk independently. Difficulty walking with assistance could indicate a potential developmental delay.
D. While vocabulary varies, most 18-month-olds can say a few words. This is within the normal range.

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A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

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