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 vomited 2 times in the last hour

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

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)

Answer and Explanation

The Correct Answer is A

Vomiting can lead to decreased absorption of digoxin, potentially resulting in subtherapeutic levels and inadequate therapeutic effect. The plan of care should be revised to address the vomiting and consider alternative routes of administration or doses.

A digoxin level within the therapeutic range indicates adequate drug absorption and effectiveness.

An apical pulse of 100/min is within the expected range for toddlers and does not necessarily require a revision of the plan of care related to digoxin therapy.

A potassium level within the normal range is desirable and does not necessarily require a revision of the plan of care related to digoxin therapy.

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Correct Answer is B

Explanation

A. Unopened bottles of formula are not typically a source of healthcare-associated infection.
B. Bedside computer keyboards can harbor various pathogens and are commonly touched by multiple individuals without thorough cleaning, making them a common source of healthcare-associated infections.
C. Disposable diapers, if properly disposed of and not reused, are not typically a source of healthcare-associated infection.
D. Protective plastic gowns, if used appropriately, are not typically a source of healthcare-associated infection.

A. A preschool-age child who has pediculosis capitis B. A school-age child who has viral conjunctivitis C. A toddler who has seasonal influenza D. An adolescent who has hepatitis A

Correct Answer is C

Explanation

A. Pediculosis capitis (head lice) does not require droplet precautions.
B. Viral conjunctivitis is typically transmitted through contact precautions rather than droplet precautions.
C. Correct. Seasonal influenza is transmitted via respiratory droplets, necessitating droplet precautions to prevent transmission.
D. Hepatitis A is transmitted via the fecal-oral route and does not require droplet precautions.

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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

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