Which assessment finding would indicate a potential adverse effect of digoxin in a child?

Nausea and vomiting

Improved appetite

Increased urine output

Decreased heart rate

Answer and Explanation

The Correct Answer is A

A. Nausea and vomiting are potential adverse effects of digoxin in children. Digoxin is a medication commonly used to treat heart conditions, but it can cause gastrointestinal disturbances as a side effect. Nausea and vomiting may occur, especially if the child is receiving too high a dose of digoxin or if they are particularly sensitive to the medication.

B. Improved appetite would not typically indicate an adverse effect of digoxin. In fact, digoxin is not known to have a direct effect on appetite. If a child experienced an increase in appetite while taking digoxin, it would likely be unrelated to the medication or could be due to other factors.

C. Increased urine output would not typically indicate an adverse effect of digoxin. Digoxin is not a diuretic medication, so it would not directly cause increased urine output.

D. Digoxin is not commonly associated with bradycardia in children.

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Correct Answer is D

Explanation

D. Suctioning equipment and oxygen are essential items to have at the bedside for seizure precautions. Seizures can sometimes be associated with airway compromise, excessive secretions, or respiratory distress. Having suctioning equipment readily available allows for prompt removal of oral or airway secretions if necessary. Oxygen may be needed to support oxygenation during or after a seizure, especially if there are concerns about respiratory depression or hypoxemia.

A. A tracheotomy set is not typically needed at the bedside for seizure precautions. Tracheotomy sets are used in emergency situations to establish a surgical airway if there is a severe airway obstruction or respiratory distress.

B. An emergency cart contains essential supplies and medications needed for emergency situations, including resuscitation equipment, medications, and supplies for managing various medical emergencies. However, the cart is not placed bedside.

C. A padded tongue blade is not typically needed at the bedside for seizure precautions. Tongue blades are sometimes used during airway management to help visualize and manipulate the tongue, but padded tongue blades are not routinely included in seizure precautions.

A. Improve muscle control and coordination. B. Eliminate the cause of the disease. C. Prevent the occurrence of emotional disturbances. D. Maximize the child's assets and minimize the limitations.

Correct Answer is D

Explanation

D. The aim is to focus on the child's strengths and abilities while addressing limitations and challenges associated with the condition. This approach emphasizes maximizing the child's potential for development, independence, and participation in daily activities, education, and social interactions, while also providing support and resources to address any limitations or barriers they may encounter.

A. Another goal of treatment and care is to maximize the child's functional abilities by improving muscle control, coordination, and mobility through various therapies, such as physical therapy, occupational therapy, and speech therapy. However, this is not the primary goal.

B. Cerebral palsy is a neurological condition caused by damage to the developing brain, often occurring before birth. While efforts to prevent cerebral palsy are important, once the condition has developed, the focus shifts to managing symptoms and optimizing the child's functioning rather than eliminating the cause.

C. Emotional well-being is an important aspect of overall health for children with cerebral palsy but it is not typically the primary goal of care. Emotional disturbances may occur in some children with cerebral palsy due to various factors such as coping with the challenges of the condition, social interactions, or other comorbidities, but the primary focus of the care plan is usually on addressing physical and functional impairments.

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Which assessment finding would indicate a potential adverse effect of digoxin in a child?

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Naxlex Comprehensive Predictor Exams

The nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which of the item(s) need to be placed at the child bedside?

Correct Answer is D

Explanation

Which is the primary goal that would be included in the plan of care for a child who has cerebral palsy?

Correct Answer is D

Explanation

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