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.


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.

Nursing

You might also like to view...

A client has been taking varenicline (Chantix) for smoking cessation. Which observations should the nurse identify as potential adverse effects of this medication? (Select all that apply.)

1. Joint pain 2. Body rash 3. Depression 4. Inability to sleep 5. Increased hunger

Nursing

When conducting the physical assessment for the toddler-age patient, which are expected anthropometric measurements and vital signs? Select all that apply

1) Gaining 4 to 6 pounds each year 2) Gaining 3 inches per year in height 3) Unequal head and chest circumferences 4) Slight decrease in blood pressure 5) Slight decrease in heart rate

Nursing

An 82-year-old AD patient has a cold and complains of stuffiness and a runny nose. If the patient also takes a cholinesterase inhibitor, the nurse should remember to avoid using which type of drugs to relieve the cold symptoms?

1. Antihistamines 2. Nasal decongestants 3. Systemic decongestants 4. Saline nasal sprays

Nursing

A community/public health nurse refers to Healthy People 2020 when providing community-based education. What is the significance of this document?

a. It clarifies the importance of hospitals in community-based care. b. It expands on what kinds of care the federal government is willing to fund. c. It explains the federal goals for improved health of the nation. d. It provides a guide for nurses when they speak with the public. e. It specifies how federal health care funds will be spent. f. It emphasizes appropriate nursing interventions when direct client care is provided.

Nursing