This topic contains a solution. Click here to go to the answer

Author Question: A long-term care nurse about to give a daily dose of digoxin (Lanoxin) is told that a serum digoxin ... (Read 85 times)

shenderson6

  • Hero Member
  • *****
  • Posts: 573
A long-term care nurse about to give a daily dose of digoxin (Lanoxin) is told that a serum digoxin level drawn earlier in the day measured 2.7 ng/mL. The nurse should take which of the following actions first?
 
  1. Administer the daily dose of the medication.
  2. Report the finding to the health care provider.
  3. Record the normal value on the intershift report sheet.
  4. Gather data from the client related to signs of toxicity.

Question 2

The nurse is caring for a child who was burned in a house fire. The nurse develops a plan of care for monitoring the child during the treatment for burn shock.
 
  The nurse identifies which of the following assessments as providing the most accurate guide to determine the adequacy of fluid resuscitation? 1. Heart rate
  2. Lung sounds
  3. Level of consciousness
  4. Amount of edema at the site of the burn injury



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

emilymalinowski12

  • Sr. Member
  • ****
  • Posts: 338
Answer to Question 1

4

Rationale: The normal therapeutic range for digoxin is 0.5 to 2.0 ng/mL. A value of 2.7 ng/mL exceeds the therapeutic range and could be toxic to the client. The nurse should gather data about signs of digoxin toxicity and then notify the health care provider. Record the normal value on the intershift report sheet is incorrect because the value is high, not normal, and dismisses the subject at hand. Administer the daily dose of the medication is incorrect because the next dose should not be administered automatically.

Answer to Question 2

3

Rationale: The sensorium, or level of consciousness, is an important guide to the adequacy of fluid resuscitation. The burn injury itself does not affect the sensorium, so the child should be alert and oriented. Any alteration in sensorium should be evaluated further. A neurological as-sessment would determine the level of consciousness in the child. Heart rate, lung sounds, and amount of edema at the site of the burn injury, although important in the assessment of the child with a burn injury, would not provide an accurate assessment of the adequacy of fluid re-suscitation.




shenderson6

  • Member
  • Posts: 573
Reply 2 on: Jul 22, 2018
:D TYSM


ktidd

  • Member
  • Posts: 319
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

For a complete list of videos, visit our video library