A nurse is providing teaching to the caregiver of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include?
"Digoxin may decrease your baby's heart rate."
"If your baby vomits a dose, do not repeat the dose to ensure that the correct amount is received."
"Give the correct dose of medication at regularly scheduled times."
"Do not offer your baby fluids after giving the medication."
The Correct Answer is C
Choice A reason: Digoxin is used to treat heart conditions by slowing the heart rate and increasing its efficiency. It does not increase the heart rate. The normal heart rate for a 12-month-old infant ranges from 80 to 160 beats per minute.
Choice B reason: If an infant vomits after taking digoxin, repeating the dose could lead to toxicity. Instead, caregivers should wait until the next scheduled dose or contact a healthcare provider for guidance.
Choice C reason: Administering digoxin at regular intervals ensures consistent therapeutic levels in the bloodstream, which is crucial for the medication's efficacy and safety.
Choice D reason: Offering fluids after medication does not interfere with digoxin's absorption. However, caregivers should be aware of the signs of digoxin toxicity, which include vomiting, lethargy, and bradycardia.
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Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: It is the nurse's responsibility to administer medication, not the caregiver's, to ensure proper dosage and method.
Choice B reason: Calculating the safe dosage is essential to avoid underdosing or overdosing, which can be harmful to the toddler's health.
Choice C reason: Offering juice after medication can help wash down the taste and ensure the medication is swallowed properly.
Choice D reason: Identifying the toddler by asking the caregiver ensures that the correct child receives the medication, which is a critical safety step.
Choice E reason: Asking the toddler to pick a toy can provide comfort and distraction, making the administration process smoother and less stressful for the child.
Correct Answer is D
Explanation
Choice A reason:
Bowel sounds are a general indicator of intestinal activity and can be assessed in patients with various conditions. However, they are not specific to the effectiveness of Esomeprazole, which is primarily used to reduce gastric acid production and prevent stress ulcers, particularly in patients with burn injuries⁷.
Choice B reason:
Stool frequency may indicate gastrointestinal motility and function but does not directly assess the effectiveness of Esomeprazole. This drug's main role is to decrease stomach acidity, which would not necessarily change stool frequency unless there was a pre-existing issue related to acid production⁷.
Choice C reason:
Abdominal distention can be caused by a variety of factors, including gas, fluid, or enlargement of organs. While it's important to monitor in burn patients, it does not specifically evaluate the effectiveness of Esomeprazole in preventing gastric acid-related complications⁷.
Choice D reason:
A fecal occult blood test is used to detect bleeding in the gastrointestinal tract, which could signify the development of stress ulcers. Since Esomeprazole is prescribed to prevent such ulcers by reducing stomach acid, this test is a direct measure of the drug's effectiveness in burn patients⁷.
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