Before giving a dose of digoxin (Lanoxin), the nurse checked an ...

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Before giving a dose of digoxin (Lanoxin), the nurse checked an infant's apical heart rate and it was 114 bpm. What should the nurse do next?
 
  a. Administer the dose as ordered.
  b. Hold the medication until the next dose.
  c. Wait and recheck the apical heart rate in 30 minutes.
  d. Notify the physician about the infant's heart rate.

Question 2

The primary symptom present in abruptio placentae that distinguishes it from placenta previa is
 
  a. Vaginal bleeding
  b. Rupture of membranes
  c. Presence of abdominal pain
  d. Changes in maternal vital signs

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Answer to Question 1

A
Feedback
A The infant's heart rate is above the lower limit for which the medication is held.
The dose can be given.
B A dose of Lanoxin is withheld for a heart rate less than 100 bpm in an infant.
C The infant's heart rate is acceptable for administering Lanoxin. It is unnecessary
to recheck the heart rate at a later time.
D The infant's heart rate is acceptable. The physician should be notified for a heart
rate less than 100 bpm in an infant.

Answer to Question 2

C
Feedback
A Both may have vaginal bleeding.
B Rupture of membranes may occur with both conditions.
C Pain in abruptio placentae occurs in response to increased pressure behind the
placenta and within the uterus. Placenta previa manifests with painless vaginal
bleeding.
D Maternal vital signs may change with both if bleeding is pronounced.

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TYSM

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