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 B

Explanation

Choice A rationale:

A blood pressure of 110/68 mmHg is within the normal range for a 14-year-old and does not directly relate to the management of ulcerative colitis.

Choice B rationale:

Ulcerative colitis can lead to chronic inflammation and blood loss in the gastrointestinal tract, resulting in anemia. Monitoring the hemoglobin level is crucial to assess the severity of anemia and the need for interventions.

Choice C rationale:

While weight loss is a concern, hemoglobin level provides more direct information about the impact of ulcerative colitis on the client's health.

Choice D rationale:

Serum sodium level of 135 mEq/L is within the normal range and does not take precedence over addressing potential anemia and its impact on the client's well-being.

A. "I will monitor the cast daily for foul odors.". B. "I will bring my child to the clinic for frequent checkups.". C. "I will use the cast stabilizing bar to turn my child.". D. "I will massage the skin around the edges of my child's cast.".

Correct Answer is C

Explanation

Choice A rationale:

Monitoring the cast daily for foul odors is a proper action to identify potential infection.

Choice B rationale:

Bringing the child for frequent checkups to the clinic is important to ensure the cast is healing properly.

Choice C rationale:

Using the cast stabilizing bar to turn the child can be concerning. There's no mention of a cast stabilizing bar, so this statement suggests a lack of understanding or misinformation.

Choice D rationale:

Massaging the skin around the edges of the child's cast can help prevent skin irritation, so it's an appropriate action.

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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

Which of these assessments is the priority for a 14-year-old client diagnosed with ulcerative colitis?

Correct Answer is B

Explanation

A patient is to be discharged in a plaster spica cast. Which statement would indicate the need for further teaching with the patient's parent?

Correct Answer is C

Explanation

What information should a nurse plan to give the parents of a child recently diagnosed with autism spectrum disorder?

In consideration of the patient's body image, the nurse should take which action when performing venipuncture in a preschool-aged child?

The nurse is to record the intake and output of a 2-year-old patient. The patient is not toilet trained. Which measure would be most appropriate to include in the patient's plan of care?

Which statement, if made by a caregiver of a 2-year-old child diagnosed with cerebral palsy requires further discussion?

A 2-day-old infant suspected of having an atrioventricular canal defect is scheduled for a cardiac catheterization in two hours. Prior to the cardiac catheterization, the caregiver makes several statements to the nurse. Which statement by the mother would indicate a need for further education?

A 4-year-old child with a history of cystic fibrosis is hospitalized with an acute pulmonary exacerbation. His prescription includes chest physiotherapy four times a day, antibiotics via IV, and pancreatic enzymes. Which time is best for the nurse to plan for chest physiotherapy?

A mother brought her infant with Down syndrome into the clinic for a well-child checkup. Which statement made by the mother would indicate a need for further education about Down syndrome? "I know my child has an increased risk for developing:.

A 4-year-old patient with cystic fibrosis is hospitalized with an acute pulmonary exacerbation. When the patient is admitted, he is clutching a soiled, tattered, stuffed dog. His mother says, "He insisted on bringing the dog with him. It really is filthy.". Which nursing action is most appropriate?