A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Mix the medication with 8 oz of formula.
Give an antiemetic.
Increase fluid intake.
Administer the next dose as prescribed.
The Correct Answer is D
A. Mixing the medication with formula may not be appropriate as the infant has vomited, and re-administering the medication immediately may result in overdosing.
B. Giving an antiemetic is not indicated unless ordered by the healthcare provider. It is important to follow specific orders in this situation.
C. Increasing fluid intake may not be advisable immediately after vomiting, especially in the context of heart failure. The infant may require evaluation for fluid status before increasing intake.
D. Administering the next dose as prescribed is the appropriate action unless contraindicated by specific circumstances or healthcare provider orders.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Administering vaccines prior to discharge may be contraindicated in a child with neutropenia due to the risk of infection from live vaccines.
B. Avoiding raw fruits and vegetables helps reduce the risk of exposure to harmful bacteria or pathogens that could lead to infection in a child with neutropenia, as their immune system is compromised.
C. Bathing the child every other day is a general hygiene practice and does not specifically address the risk of infection associated with neutropenia.
D. Obtaining the child's rectal temperature once daily is a routine assessment and does not directly address the risk of infection associated with neutropenia.
Correct Answer is B
Explanation
Rationale:
A) Placing the child in a prone position can obstruct the airway and increase the risk of aspiration.
B) Clearing the area of hard objects helps prevent injury during a seizure.
C) Inserting a tongue blade between the teeth can cause oral trauma and should be avoided.
D) Minimizing movement of the limbs is not necessary during a seizure; the focus should be on ensuring safety and preventing injury.
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