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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should ensure that the rope knots are positioned away from the pulleys to prevent interference with the traction mechanism. Proper alignment of the rope and pulleys ensures smooth traction application and prevents accidental slippage or dislodgment of the traction weights.
A. Buck's traction typically does not involve pin sites. It involves the application of traction to the affected limb using a boot or traction tape. Antibiotic ointment is not typically applied to the skin under Buck's traction unless there are specific wounds or abrasions that require treatment.
C. Ensuring the child's feet are against the footboard is not applicable to Buck's traction, which does not require the feet to be against a footboard.
D. There is typically no need to reduce a child's fluid intake solely because they are in Buck's traction for Legg-Calve-Perthes disease. Adequate hydration is essential for overall health and healing, and fluid restriction is not indicated unless there are specific medical reasons for doing so.
Correct Answer is C
Explanation
C. The Eustachian tube in infants is shorter, straighter, and wider compared to adults. This anatomy makes it easier for bacteria or viruses from the nasopharynx to travel up the Eustachian tube and infect the middle ear, contributing to the increased susceptibility to otitis media.
A. Infants spend a significant amount of time lying down, whether in a supine (on their backs) or prone (on their stomachs) position. However, this does not increase the risk of otitis media
B. Sucking on a nipple does create pressure changes in the middle ear but it's not the primary reason infants are more susceptible to otitis media.
D. Sucking on a nipple does create pressure changes in the middle ear but it's not the primary reason infants are more susceptible to otitis media
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