Author Question: You are the nurse preparing to give a child a dose of digoxin. Before giving the digoxin, you would ... (Read 138 times)

jjjetplane · **on:** Jun 27, 2018

You are the nurse preparing to give a child a dose of digoxin. Before giving the digoxin, you would first check the apical pulse, and you would also be most interested in making sure which of the following levels were within normal?

a. red blood cell count c. potassium levels
b. chloride levels d. platelet

Question 2

Which of the following behaviors by the caregivers would facilitate a child learning to trust when the child is hospitalized?

a. having the child stay with a variety of other people soon after discharge from the hospital to help the child overcome anxiety around new people
b. establishing a solid good-bye routine
c. letting the child know they will miss him or her
d. providing a list of the child's usual home routines, cues given when frustrated, response to comforting methods, and favorite games and music to the health team

batool · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C

Feedback
A Incorrect. Before giving digoxin, you would first check the apical pulse. However, the red blood cell count would not be relevant.
B Incorrect. Before giving digoxin, you would first check the apical pulse. However, the chloride level would not be relevant.
C Correct. Before giving digoxin, you would first check the apical pulse and serum potassium level which should be normal. Hypokalemia in combination with digoxin can result in ventricular arrhythmias and can enhance digoxin toxicity.
D Incorrect. Before giving digoxin, you would first check the apical pulse. However, the platelet levels would not be relevant.

Answer to Question 2

D

Feedback
A Incorrect. Behaviors by the caregivers that would facilitate a child learning to trust when the child is hospitalized will not include having the child stay with a variety of other people soon after discharge from the hospital to help the child overcome anxiety around new people.
B Incorrect. Behaviors by the caregivers that would facilitate a child learning to trust when the child is hospitalized will not include establishing a solid good-bye routine.
C Incorrect. Behaviors by the caregivers that would facilitate a child learning to trust when the child is hospitalized will not include letting the child know they will miss him or her.
D Correct. Behaviors by the caregivers that would facilitate a child learning to trust when the child is hospitalized will focus upon providing a list of the child's usual home routines, cues given when frustrated, response to comforting methods, and favorite games and music to the health team.