Author Question: An 8-year-old child is receiving digoxin (Lanoxin). The nurse should notify the practitioner and ... (Read 65 times)

Jkov05 · **on:** Jun 28, 2018

An 8-year-old child is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _____ beats/min.

a. 60
b. 70
c. 90
d. 100

Question 2

Which is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?

a. Pulmonary congestion
b. Congenital heart defect
c. Heart failure
d. Systemic venous congestion

Eazy416 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
If a 1-minute apical pulse is less than 70 beats/min for an older child, the digoxin is withheld; 60 beats/min is the cut-off for holding the digoxin dose in an adult. A pulse below 90 to 110 beats/min is the determination for not giving a digoxin dose to infants and young children.

Answer to Question 2

ANS: C
The definition of heart failure is the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures to meet the body's metabolic demands. Pulmonary congestion is an excessive accumulation of fluid in the lungs. Congenital heart defect is a malformation of the heart present at birth. Systemic venous congestion is an excessive accumulation of fluid in the systemic vasculature.