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CHD Question and answers rated A+ 2024
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CHD Question and answers rated A+ 2024 Before giving a dose of digoxin (Lanoxin), the nurse checked an infants apical heart rate and it is 114 beats per minute. What should the nurse do next? a. Administer the dose as ordered. b. Hold the medication until the next dose. c. Wait a...

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  • August 22, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • chd
  • chd question and answers rated a 2024

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  • CCC2 PRN 1178
  • CCC2 PRN 1178

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CHD, and cardio ped care
Before giving a dose of digoxin (Lanoxin), the nurse checked an infants apical
heart rate and it is 114 beats per minute. 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 infants heart rate. - correct answer ✔ANS: A


The infants heart rate is above the lower limit for which the medication is held.
The dose can be given. It is unnecessary to recheck the heart rate at a later
time. A dose of Lanoxin is withheld for a heart rate less than 100 beats per
minute in an infant and a physician should be notified


Which intervention should be included in the plan of care for an infant with the
nursing diagnosis Fluid volume excess related to congestive heart failure?

, a.


Weigh the infant every day on the same scale at the same time.


b.


Notify the physician when weight gain exceeds more than 20 g/day.


c.


Put the infant in a car seat to minimize movement.


d.


Administer digoxin (Lanoxin) as ordered by the physician. - correct answer
✔ANS: A


Excess fluid volume may not be overtly visible. Weight changes may indicate
fluid retention. Weighing the infant on the same scale at the same time each
day ensures consistency. An excessive weight gain for an infant is an
increase of more than 50 g/day. With fluid volume excess, skin will be
edematous. The infants position should be changed frequently to prevent
undesirable pooling of fluid in certain areas. Lanoxin is used in the treatment
of congestive heart failure to improve cardiac function. Diuretics will help the
body get rid of excess fluid.

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