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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While vomiting can be a symptom in some gastrointestinal disorders, it is not specific to necrotizing enterocolitis.
B. Hypertension is not typically associated with necrotizing enterocolitis. Instead, infants may present with hypotension due to septic shock or poor perfusion.
C. A rounded abdomen is a common finding in infants with necrotizing enterocolitis due to abdominal distension from gas and fluid accumulation.
D. Tachypnea may occur in response to systemic infection or respiratory distress but is not a defining characteristic of necrotizing enterocolitis.
Correct Answer is {"xRanges":[202.765625,242.765625],"yRanges":[264.609375,304.609375]}
Explanation
A. This is not the site where kolpik spots are located.
B. This is not the site where kolpik spots are located.
C. Koplik spots are small, white or bluish-white spots that appear on the inside of the cheeks, usually opposite the lower molars, in people who have measles. They are a sign of the infection and can be seen one to four days before the skin rash develops. They are surrounded by a red ring and look like grains of salt. Koplik spots are very helpful for diagnosing measles, especially when other diseases have similar symptoms.
D. This is not the site where kolpik spots are located.
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