A client with atrial fibrillation is receiving digoxin (Lanoxin). Which of these assessments is most important for the nurse to perform?

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Question 1 of 5

A client with atrial fibrillation is receiving digoxin (Lanoxin). Which of these assessments is most important for the nurse to perform?

Correct Answer: B

Rationale: Digoxin slows heart rate; assessing apical pulse ensures it's not below 60 BPM, preventing bradycardia.

Question 2 of 5

A client is ordered atropine to be administered preoperatively. Which physiological effect should the nurse monitor for?

Correct Answer: B

Rationale: Atropine, an anticholinergic, reduces salivary and respiratory secretions preoperatively.

Question 3 of 5

A 4 year-old child is admitted with burns on his legs and lower abdomen. When assessing the child's hydration status, which of the following indicates a less than adequate fluid replacement?

Correct Answer: B

Rationale: Rising hematocrit (hemoconcentration) and oliguria indicate inadequate fluid resuscitation.

Question 4 of 5

The nurse has been teaching an apprehensive primipara who has had initial difficulty in nursing the newborn. What observation at the time of discharge suggests that initial breast feeding is effective?

Correct Answer: A

Rationale: Calm maternal behavior and interaction suggest effective latch and feeding confidence.

Question 5 of 5

The nurse discovers that the parents of a 2 year-old child continue to use an apnea monitor each night. The parents state: 'We are concerned about the possible occurrence of sudden infant death syndrome (SIDS).' In order to take appropriate action, the nurse must understand that

Correct Answer: D

Rationale: SIDS risk peaks at 2-4 months and drops significantly after 6 months; at 2 years, monitoring is typically unnecessary.

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