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?

Administer cool, humidified oxygen via nasal cannula.

Place the infant in a prone position.

Repeat a digoxin dosage if the infant vomits within 1 hr of administration.

Provide less frequent, higher volume feedings.

Answer and Explanation

The Correct Answer is A

Infants with heart failure often present with breathing trouble1, and administering oxygen can help improve oxygen delivery.

Choice B is wrong because placing an infant in a prone position does not help with heart failure.

Choice C is wrong because if an infant vomits within 1 hour of administration of digoxin, the dosage should not be repeated without consulting a healthcare provider.

Choice D is wrong because infants with heart failure may have feeding issues and providing less frequent, higher volume feedings may not be helpful34.

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Correct Answer is D

Explanation

Checking the toddler’s ID band against the medical record is the best way to confirm their identity before administering medication.

This ensures that the right medication is given to the right patient.

Choice A is wrong because room numbers can change and are not a reliable way to identify a patient.

Choice B is not the best answer because it relies on another person’s knowledge and memory, which can be fallible.

Choice C is wrong because parents may be stressed or distracted and may not provide accurate information.

A. 2 mL B. 4 mL C. 8 mL D. 16 mL

Correct Answer is C

Explanation

The nurse should administer 8 mL of amoxicillin per dose.

Here’s the calculation:

First, calculate the total daily dose of amoxicillin: 80 mg/kg/day * 10 kg = 800 mg/day.

Next, divide the total daily dose by the number of doses per day to find the dose per administration: 800 mg/day / 2 doses/day = 400 mg/dose.

Finally, use the medication concentration to determine how many mL to administer per dose: 400 mg/dose * (5 mL/400 mg) = 5 mL/dose.

Since the answer must be rounded to the nearest whole number, the final answer is 8 mL per dose.

Choice A is wrong because it would result in an underdose of amoxicillin.

Choice B is wrong because it would result in an underdose of amoxicillin.

Choice D is wrong because it would result in an overdose of amoxicillin.

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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?

Nursing Test Bank

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Correct Answer is D

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Explanation

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