Author Question: The nurse instructs the parents of a child with a congenital heart disorder on the administration of ... (Read 89 times)

jake · **on:** Jun 27, 2018

The nurse instructs the parents of a child with a congenital heart disorder on the administration of digoxin at home. Which observation indicates that teaching has been effective?

A) The father provides a dose of the medication after the baby spits it up.
B) The father provides a dose of the medication at the conclusion of a feeding.
C) The mother feels for a radial pulse before giving the baby the next scheduled dose.
D) The mother provides a dose of the medication 1 hour before the next scheduled feeding.

Question 2

Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?

A) Prepare for seizures.
B) Prevent dehydration.
C) Expect the skin to turn yellow.
D) Encourage progressive activity.

Ddddd · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback:
Guidelines to ensure safe digoxin administration at home include providing a dose of the medication 1 hour before the next scheduled feeding. If a dose is vomited, do not repeat the dose. The medication should be given 2 hours after a feeding and not immediately after. The apical heart rate and not the radial pulse should be assessed before providing a dose of the medication.

Answer to Question 2

B
Feedback:
Hydration must be monitored so dehydration does not occur in children with polycythemia so the polycythemia does not become so severe clotting or thrombophlebitis results. Seizures are not a threat with polycythemia. Jaundice is not associated with polycythemia. Encourage parents to observe the infant carefully when new activities are introduced so they can recognize the first signs of respiratory distress or the point at which the child is beginning to exceed exercise tolerance.