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 A
Explanation
A. Acetaminophen is appropriate for managing mild discomfort post-procedure.
B. Tub baths are generally avoided for the first few days to prevent infection at the catheterization site; sponge baths are preferred.
C. Keeping the child home for 1 week might be excessive; follow the healthcare provider's specific instructions regarding activity and school return.
D. Clear liquids are typically offered as tolerated, but the primary concern post-procedure is monitoring the insertion site and ensuring the child rests adequately.
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.
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