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What is the priority assessment for a 54 year old patient with heart failure who is receiving digoxin?

A.

INR level

B.

Temperature

C.

Apical heart rate

D.

Blood pressure

Answer and Explanation

The Correct Answer is C

Choice A reason: This is incorrect. INR level is a measure of blood clotting time and is not directly affected by digoxin. It is more relevant for patients who are taking anticoagulants, such as warfarin.

Choice B reason: This is incorrect. Temperature is not a priority assessment for a patient receiving digoxin. It may indicate an infection or inflammation, but it is not related to the action or toxicity of digoxin.

Choice C reason: This is correct. Apical heart rate is the priority assessment for a patient receiving digoxin. Digoxin is a cardiac glycoside that increases the force and efficiency of the heart contractions, but also slows down the heart rate. The nurse should monitor the apical pulse for one full minute before administering digoxin and withhold the dose if the pulse is below 60 beats per minute for adults or below the age-specific normal range for children. A low or irregular pulse may indicate digoxin toxicity, which can be life-threatening.

Choice D reason: This is incorrect. Blood pressure is not a priority assessment for a patient receiving digoxin. Digoxin does not have a direct effect on blood pressure, although it may improve the cardiac output and reduce the fluid retention in patients with heart failure. Blood pressure should be monitored regularly, but it is not as critical as the apical heart rate.


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Related Questions

Correct Answer is A

Explanation

Choice A reason: This is correct. Somatropin is a synthetic form of human growth hormone (HGH), which stimulates the growth of bones and tissues. It is used to treat growth deficiency in children who have low or no natural HGH. The treatment is usually stopped when the growth plates (the areas of cartilage at the ends of the long bones) fuse, which marks the end of the growth period. This usually occurs around the age of 14-18 years for boys and 12-16 years for girls.

Choice B reason: This is incorrect. Somatropin is not intended for life-long treatment. It is only used to correct growth deficiency in children who have low or no natural HGH. Once the growth plates fuse, the treatment is discontinued.

Choice C reason: This is incorrect. Somatropin is not used for weight management. It is used to treat growth deficiency in children who have low or no natural HGH. The duration of the treatment depends on the individual growth potential and response to the medication, not on the weight goal.

Choice D reason: This is incorrect. Somatropin is not a short-term medication. It is used to treat growth deficiency in children who have low or no natural HGH. The treatment usually lasts for several years, until the growth plates fuse.

Correct Answer is ["150"]

Explanation

To calculate the IV pump rate for the 0.9% sodium chloride 1,200 mL IV to infuse over 8 hours, we can use the following formula:

IV pump rate (mL/hr) = Total volume (mL) / Time (hr)

Using the given values:

Total volume = 1,200 mL

Time = 8 hours

Plugging these values into the formula:

IV pump rate = 1,200 mL / 8 hr

IV pump rate = 150 mL/hr

So, the nurse should set the IV pump to deliver 150 mL/hr to infuse the 1,200 mL of 0.9% sodium chloride over 8 hours.

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