The nurse is caring for a pediatric patient receiving digoxin therapy. Which assessment finding would indicate digoxin toxicity?

Pedal edema.

Cardiac arrhythmias.

Circumoral cyanosis.

Infrequent voiding.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Pedal edema is not indicative of digoxin toxicity. Digoxin toxicity primarily affects the heart's electrical activity and rhythm, not fluid accumulation in the extremities.

Choice B rationale:

Cardiac arrhythmias are a hallmark sign of digoxin toxicity. Digoxin can lead to various types of arrhythmias, such as atrial tachycardia, atrial fibrillation, and ventricular ectopy. This occurs due to the drug's effects on altering the electrical conduction in the heart.

Choice C rationale:

Circumoral cyanosis is not a typical sign of digoxin toxicity. This symptom might be seen in conditions like methemoglobinemia or respiratory distress, but it's not directly related to digoxin toxicity.

Choice D rationale:

Infrequent voiding is not a specific sign of digoxin toxicity. It could be related to various factors, such as fluid intake, renal function, or underlying medical conditions, but it's not a hallmark of digoxin toxicity.

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Correct Answer is C

Explanation

Choice A rationale:

Exploring why the mother wants to hold the baby is important, but it does not directly address her immediate desire to hold her baby. Delaying the action could lead to emotional distress for the mother.

Choice B rationale:

Showing the mother how to lightly rub the baby's back above the suture line might be appropriate, but it doesn't fulfill the mother's wish to hold her baby. It also doesn't fully consider the sensitivity of the surgical site.

Choice C rationale:

Helping the mother hold the baby without placing pressure on the suture line is the most appropriate action. It addresses the mother's emotional needs while also considering the infant's post-operative condition.

Choice D rationale:

Reassuring the mother that she will be able to hold her baby in four to five days does not provide immediate comfort and support for her emotional distress. It's important to address her needs in the present moment.

A. "The VCUG will be able to fix the reason why she is having frequent urinary tract infections.”. B. "The healthcare provider will use the VCUG to view her urinary tract and bladder to see if everything is okay.”. C. "The VCUG is going to administer antibiotics directly into her urinary tract because she is having too many infections.”. D. "A VCUG will be attached to her bladder so it can monitor my child's ability to potty for several days.".

Correct Answer is B

Explanation

"The healthcare provider will use the VCUG to view her urinary tract and bladder to see if everything is okay.”.

Choice A rationale:

Administering antibiotics or fixing underlying issues are not the purposes of a voiding cystourethrogram (VCUG). VCUG is a diagnostic imaging procedure used to visualize the urinary tract and bladder for structural abnormalities, not to administer treatments.

Choice B rationale:

This choice accurately reflects the purpose of a VCUG. It is a radiographic study that involves using contrast dye to visualize the urinary tract, helping healthcare providers identify any anatomical abnormalities or functional issues related to the bladder.

Choice C rationale:

The statement in Choice C is incorrect. VCUG is not used to administer antibiotics directly into the urinary tract. It is primarily a diagnostic procedure, not a treatment method.

Choice D rationale:

Choice D is inaccurate. A VCUG is not attached to the bladder, nor is it used for monitoring a child's ability to urinate over an extended period. It is a one-time imaging procedure.

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The nurse is caring for a pediatric patient receiving digoxin therapy. Which assessment finding would indicate digoxin toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infant has undergone surgical repair of her myelomeningocele and is returned to the pediatric unit. Her mother tearfully says to the nurse, "I wish I could hold my baby.”. Which nursing action would be most appropriate?

Correct Answer is C

Explanation

Which statement made by the caregiver of a 2-year-old child who is scheduled to have a voiding cystourethrogram (VCUG) indicates a correct understanding of the procedure?

Correct Answer is B

Explanation

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