The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and notify the physician if the infant's apical pulse rate was:
A) 140 beats per minute
B) 120 beats per minute
C) 100 beats per minute
D) 80 beats per minute
D
Feedback:
In an infant, if the apical pulse rate is less than 90 beats per minute, the dose is held and the physician should be notified.
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A patient who is critically ill is attached to a saturation of mixed venous oxygen monitor (SvO2) and has an SvO2 value that is trending downward and is currently below normal at 55%. What clinical abnormality should the nurse suspect?
A) Increased cardiac output B) Fever and shivering C) Fluid volume overload D) Oversedation
When a nurse is obtaining a history from a client regarding anginal pain, which of the following should be included? Select all that apply
A) Duration of the pain B) Events that relieve anginal pain C) Events that trigger anginal pain D) Description of the pain E) Whether the pain radiates
A menopausal woman tells her nurse that she experiences discomfort from vaginal dryness during sexual intercourse, and asks, "What should I use as a lubricant?" The nurse should recommend:
1. Petroleum jelly. 2. A water-soluble lubricant. 3. Body cream or body lotion. 4. Less-frequent intercourse.
A patient prescribed highly active antiretroviral therapy (HAART) is flying to a wedding and will be gone 1 day. The patient asks about skipping prescribed drug doses that day in order to avoid having to show them all at the airport
What is the nurse's best response? a. "Yes, just one day off your drugs will not make any difference." b. "Yes, as long as you avoid direct contact with anyone who is ill." c. "No, even one day off the drugs can help the virus become drug resistant." d. "No, even one day off the drugs increases the chance that you can spread the dis-ease."