A nurse on a cardiac care unit is caring for a preschooler.
Drag words from the choices below to fill in each blank in the following sentence.
The client is at risk for developing and
The Correct Answer is {"dropdown-group-1":"F","dropdown-group-2":"E"}
Target 1: Digitalis toxicity
The child has been administered digoxin, a cardiac glycoside, multiple times. Digitalis toxicity is a risk due to the narrow therapeutic window of digoxin and the potential for adverse effects, especially if there are signs of worsening heart failure or electrolyte imbalances.
Target 2: Hypokalemia
The administration of furosemide, a loop diuretic, increases the risk of hypokalemia (low potassium levels). Hypokalemia can occur as a result of diuretic therapy and can exacerbate the risk of digitalis toxicity, as digoxin toxicity is often linked to low potassium levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Promoting maternal-infant bonding is important but is secondary to addressing immediate physical concerns.
B. Maintaining the integrity of the sac is the priority in managing myelomeningocele. The sac should be protected from rupture or infection to prevent damage to the spinal cord and nerves.
C. Providing age-appropriate stimulation is important for development but is not as urgent as protecting the physical integrity of the sac.
D. Educating the parents about the defect is crucial for long-term care but does not take precedence over immediate physical needs.
Correct Answer is ["A","B","E","F"]
Explanation
Given the client’s symptoms (right lower quadrant pain, nausea, fever) and elevated WBC count indicating a possible infection, the provider may prescribe IV antibiotics. This is especially important if there is a concern for appendicitis or another bacterial infection.
B. The client may need to be kept NPO (nil per oral) in preparation for possible surgery or diagnostic imaging to prevent complications such as aspiration if surgery is needed.
C. Promethazine is an antiemetic, but the priority in this case would be addressing the underlying condition (likely appendicitis) rather than just managing symptoms. However, it might be used later for symptomatic relief.
D. Acetaminophen may be used for pain management, but with a suspected surgical condition, addressing the root cause is more critical. Pain management will likely be considered after the primary issue is addressed.
E. With symptoms and lab results suggestive of appendicitis, the client may require surgery. Informed consent is necessary before any surgical procedure.
F. An abdominal ultrasound is commonly used to assess for appendicitis in children and can help confirm the diagnosis by visualizing the appendix and assessing for inflammation.
G. Enemas are not indicated in this case and could be harmful. They are not recommended for abdominal pain with a possible surgical condition like appendicitis.
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