The nurse instructs the parents of a child with a congenital heart disorder on the administration of digoxin at home. Which observation indicates that teaching has been effective?
A) The father provides a dose of the medication after the baby spits it up.
B) The father provides a dose of the medication at the conclusion of a feeding.
C) The mother feels for a radial pulse before giving the baby the next scheduled dose.
D) The mother provides a dose of the medication 1 hour before the next scheduled feeding.
D
Feedback:
Guidelines to ensure safe digoxin administration at home include providing a dose of the medication 1 hour before the next scheduled feeding. If a dose is vomited, do not repeat the dose. The medication should be given 2 hours after a feeding and not immediately after. The apical heart rate and not the radial pulse should be assessed before providing a dose of the medication.
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