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Author Question: The parents of a young child with heart failure tell the nurse that they are nervous about giving ... (Read 21 times)

imowrer

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on: Jun 28, 2018
The parents of a young child with heart failure tell the nurse that they are nervous about giving digoxin (Lanoxin). The nurse's response should be based on which statement?
 
  a. It is a safe, frequently used drug.
  b. It is difficult to either overmedicate or undermedicate with digoxin.
  c. Parents lack the expertise necessary to administer digoxin.
  d. Parents must learn specific, important guidelines for administration of digoxin.

Question 2

The nurse is teaching parents about signs of digoxin (Lanoxin) toxicity. Which is a common sign of digoxin toxicity?
 
  a. Seizures
  b. Vomiting
  c. Bradypnea
  d. Tachycardia


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bigsis44

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: D
Digoxin has a narrow therapeutic range. The margin of safety between therapeutic, toxic, and lethal doses is very small. Specific guidelines are available for parents to learn how to administer the drug safely and to monitor for side effects. Digoxin is a frequently used drug, but it has a narrow therapeutic range. Small amounts of the liquid are given to infants, making it easy to overmedicate or undermedicate. Parents may lack the necessary expertise to administer the drug at first, but with discharge preparation, they should be prepared to administer the drug safely.

Answer to Question 2

ANS: B
Vomiting is a common sign of digoxin toxicity. Seizures are not associated with digoxin toxicity. The child will have a slower heart rate, not respiratory rate. The heart rate will be slower, not faster.


imowrer

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Reply #2 on: Jun 28, 2018
Correct answers!


bigsis44

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Reply #3 on: Jun 28, 2018
Great! Please up vote :D


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