Which is the most appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant?
a. Counting the apical rate for 30 seconds before administering the medication
b. Withholding a dose if the apical heart rate is less than 100 beats/min
c. Repeating a dose if the child vomits within 30 minutes of the previous dose
d. Checking respiratory rate and blood pressure before each dose
ANS: B
As a rule, if the pulse rate of an infant is below 100 beats/min, the medication is withheld and the physician is notified.
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When assessing a client with primary thrombocytopenia, the nurse finds which of the following consistent with the diagnosis?
1. Pallor 2. Jaundice 3. Generalized erythema 4. Petechiae and purpura
A nursing manager explains to the executive committee that reducing errors requires
a. disciplining staff members who continue to make errors. b. focusing on systems problems and not blaming individuals. c. having an anonymous error reporting procedure for staff. d. holding individuals responsible for the errors they commit.
{1/4}% of 60 = _____
a. 0.2 b. 15 c. 1.5 d. 0.15
Several adolescent female students are waiting to be seen by the school sexual health clinic nurse. Which student should the nurse see first?
1. 14-year-old whose 17-year-old sister is pregnant 2. 15-year-old who reports using condoms regularly 3. 16-year-old who had chlamydia treated 2 weeks ago 4. 17-year-old with a history of child abuse