Author Question: A nurse is required to care for a child, age 4 years, who is being digitalized. Which of the ... (Read 47 times)

lilldybug07 · **on:** Jul 23, 2018

A nurse is required to care for a child, age 4 years, who is being digitalized. Which of the following changes in the pulse rate indicates that the nurse should withhold the drug?

A) Pulse rate less than 70 beats per minute
B) Pulse rate less than 80 beats per minute
C) Pulse rate less than 90 beats per minute
D) Pulse rate more than 100 beats per minute

Question 2

A client is prescribed a cardiotonic medication. Which of the following preadministration assessments should the nurse perform on this client?

A) Inspect joints for swelling.
B) Check for jugular vein distention.
C) Inspect skin for rash.
D) Obtain blood glucose levels.

kilada · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Feedback:
In a child, a pulse rate less than 70 beats per minute indicates toxicity. The nurse should withhold the drug when the pulse rate is less than 70 beats per minute and notify the health care provider. A pulse rate less than 60 or more than 100 beats per minute indicates toxicity in adults. A pulse rate less than 90 beats per minute indicates toxicity in infants.

Answer to Question 2

Ans: B
Feedback:
The nurse should check for jugular vein distention as part of the preadministration assessment for the client prescribed a cardiotonic. The nurse need not inspect joints for swelling, inspect skin for rash, or obtain blood glucose levels as these interventions will not provide necessary information with regard to administration of a cardiotonic.