A nurse is preparing to administer digoxin to a 6-month-old infant. Before administering the dose, the nurse measures the apical heart rate.
The nurse should withhold the dose if the infant’s apical heart rate is less than what rate? .
The Correct Answer is ["90"]
The correct answer is less than 90 beats per minute.
Step 1 is to understand the guidelines for administering digoxin to infants. According to the American Academy of Pediatrics, the nurse should withhold the dose if the infant’s apical heart rate is less than 90 beats per minute.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Flushing and sweating can be an indication of magnesium sulfate toxicity. Magnesium sulfate is a medication used to prevent seizures in women with severe preeclampsia. However, if the levels of magnesium become too high, it can lead to toxicity15.
Choice B rationale
A decreased level of consciousness can be an indication of magnesium sulfate toxicity. High levels of magnesium can affect the central nervous system, leading to drowsiness, lethargy, and decreased responsiveness15.
Choice C rationale
Urinary output less than 30 mL/hr can be an indication of magnesium sulfate toxicity. Magnesium sulfate can affect kidney function, leading to decreased urine output15.
Choice D rationale
Respirations fewer than 12/min can be an indication of magnesium sulfate toxicity. High levels of magnesium can depress the respiratory system, leading to slow or shallow breathing15.
Correct Answer is D
Explanation
Choice A rationale
White breads and rice are not particularly high in calcium and would not be the best source of calcium for a client who does not like milk.
Choice B rationale
Meat, poultry, and fish can contain some calcium, but they are not the best source of calcium for a client who does not like milk.
Choice C rationale
Deep red or orange vegetables, while nutritious, are not particularly high in calcium.
Choice D rationale
Dark green, leafy vegetables are a good source of calcium. For a client who is in the 8th week of gestation and does not like milk, these vegetables would be a good alternative source of calcium.
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