The nurse is administering digoxin as ordered and the child ...

[@Brianna17]

The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next?
 
  A) Contact the physician.
  B) Offer a snack and administer another dose.
  C) Immediately administer another dose.
  D) Administer next dose as ordered in 12 hours.

Question 2

A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, how would the nurse document this murmur?
 
  A) Loud without a thrill
  B) Loud with a precordial thrill
  C) Soft and easily heard
  D) Loud, audible with a stethoscope

[sabina576]

Answer to Question 1

Ans: D
Digoxin should be administered at regular intervals, every 12 hours, 1 hour before or 2 hours after feeding. If the child vomits digoxin, the nurse should not give a second dose and should wait until the next scheduled dose. It is not necessary to contact the physician.

Answer to Question 2

Ans: A
A grade III murmur is loud without a thrill. Grade II is soft and easily heard. Grade IV is loud with a precordial thrill. Grade V is characterized as loud, audible with a stethoscope.

[@Brianna17]

Thanks for the timely response, appreciate it

[xiazhe]

TYSM