A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by
the nurse warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suc
...
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by
the nurse warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. Correct Answer-Apical heart rate of 60.
A heart rate of 60 (A) is much lower than normal for a 6-month-old and warrants immediate
intervention. The normal heart rate for a 6-month-old is 80 to 150 BPM when awake, and a rate of 70
while sleeping is considered within normal limits. (B and C) are expected symptoms of heart failure in an
infant. (D) is within normal limits for an infant.
The nurse is teaching the parents of a 5-year-old with cystic fibrosis about respiratory treatments. Which
statement indicates to the nurse that the parents understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before meals.
Ensure respiratory therapy is done daily during any respiratory infection. Correct Answer-Administer
aerosol therapy followed by postural drainage before meals.
Postural drainage for a child with cystic fibrosis is most effective when performed after nebulization and
before meals (C) or at least 1 hour after eating to prevent nausea and vomiting. Postural drainage uses
gravity to promote mucous removal after nebulization (A) treatments
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