What order for a digitalizing dose of digoxin (Lanoxin) for a 62-year-old man would the nurse consider appropriate and safe to administer?
A) 1.25 mg IV now
B) 0.75 mg orally now
C) 0.25 mg orally every day
D) 1 mg intramuscularly every 4 hours × 24 hours
B
Feedback:
Digoxin: Adult: loading dose 0.75 to 1.25 mg orally or 0.125 to 0.25 mg IV, then oral maintenance dose of 0.125 to 0.25 mg/d; decrease dose with renal impairment.
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A widow, aged 72 years, lives alone and is visited weekly by her son. She takes digoxin,
hydrochlorothiazide, and an antihypertensive drug. She also has a prescription for diazepam (Valium) as needed for moderate to severe anxiety. When the son visited today he found his mother confused. Her speech was thick and slurred and she had an unsteady gait. She was taken to the emergency department, and hospital admission followed. The nurse assessed the client as having several cognitive problems, including memory and attention deficits and fluctuating levels of orientation. The nurse confirms that the client's symptoms developed over a 2-day period. The client's symptoms are most characteristic of a. delirium. b. dementia. c. amnestic syndrome. d. Alzheimer's disease.
Agnes informs you that she has been having respiratory problems and skin irritation since she started working on your unit. What question should you pose to Agnes in order to assess why she is experiencing these symptoms?
a. Are you allergic to latex gloves? b. Have you been very anxious lately? c. Have you been using alcohol swabs? d. Where did you work before coming here?
A 16-year-old girl is seen in an emergency room following a rape. The management of a rape victim should be directed primarily toward
A) relieving physical discomfort and pain. B) decreasing guilt and increasing self-esteem. C) assessing for sources of infection resulting from the rape. D) teaching the child how to prevent further attacks.
The space between crib rail slats must be no more than:
a. 2 inches. b. 2 3/8 inches. c. 3 inches. d. 3.5 inches.