Author Question: The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse ... (Read 83 times)

@Brianna17 · **on:** Jun 28, 2018

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 · **Reply #1 on:** Jun 28, 2018

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.