A nurse is planning care for an 8-month-old infant who has heart failure. Which of the following actions should the nurse include in the plan of care?
Place the infant in a prone position.
Repeat a digoxin dosage if the infant vomits within 1 hr. of administration.
Administer cool, humidified oxygen via nasal cannula
Provide less frequent, higher volume feedings
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Hyperactive reflexes are incorrect. Gasoline inhalation tends to affect the central nervous system and might result in CNS depression rather than hyperactivity, so hyperactive reflexes are less likely.
Choice B Reason:
Ataxia is correct.
Ataxia, which refers to a lack of muscle coordination or unsteady movements, can be an expected finding in individuals who have inhaled gasoline fumes. Gasoline inhalation can affect the nervous system, leading to symptoms like ataxia, dizziness, confusion, and unsteady gait.
Choice C Reason:
Hypothermia is incorrect. Gasoline inhalation is not typically associated with hypothermia. Inhaling gasoline vapors might cause respiratory irritation or CNS effects but not hypothermia.
Choice D Reason:
Pinpoint pupils is incorrect. Pinpoint pupils are more commonly associated with opioid use or certain medications affecting the nervous system. Gasoline inhalation is not typically associated with this pupil reaction.
Correct Answer is C
No explanation
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