A patient is being given Digoxin to treat heart failure. Which of the ff. is a usual adult daily dosage of digoxin (Lanoxin)?

Correct Answer: C

Rationale: The usual adult daily dosage of digoxin (Lanoxin) for the treatment of heart failure typically ranges from 0.125 mg to 0.25 mg. The maintenance dose is specific to each individual patient's needs and is adjusted based on factors such as age, weight, renal function, and the presence of other medical conditions. The dosage prescribed should be carefully determined by a healthcare provider to ensure optimal therapeutic effects and minimize the risk of side effects associated with digoxin. Dosages higher than 0.25 mg are usually not recommended due to the narrow therapeutic index of digoxin. It is essential for patients taking digoxin to have their drug levels monitored regularly to prevent toxicity.

Correct Answer: B

Rationale: Pure epithelial histology, particularly fetal type, is associated with the best prognosis.

Correct Answer: D

Rationale: The most appropriate nursing intervention in this situation would be to get the newborn, wrap in a blanket, and rewarm in a radiant warmer so parents can hold their deceased infant. This is known as a "cold cuddle" technique, where the infant is gently rewarmed for a short period of time to allow the parents to hold and say goodbye to their baby. This practice has been shown to help parents in the grieving process and is a compassionate way to support them during this difficult time. It allows the parents to have a physical connection with their child and provides them with some closure and the opportunity to create lasting memories.

Correct Answer: A

Rationale: The correct action that demonstrates understanding of standard precautions is wearing gloves during all client contact. Standard precautions are designed to prevent the transmission of infectious agents from both recognized and unrecognized sources of infection. Wearing gloves during client contact helps protect both the patient and the healthcare worker from potential infection transmission through contact with bodily fluids, skin, mucous membranes, and non-intact skin. Cleaning blood spills with soap and water is also part of standard precautions to prevent the spread of infection. However, pouring bulk blood and other secretions down a drain connected to a sanitary sewer and carrying a blood sample to the lab in an open basket do not align with standard precautions and could pose infection control risks.

Correct Answer: A

Rationale: Monitoring the client's temperature before, during, and after transfusion is essential to determine if chilling is the result of an emerging complication or of infusing cold blood. By consistently monitoring the client's temperature at different points in the transfusion process, healthcare providers can identify any significant changes that may indicate a complication. This allows for timely intervention and appropriate management of any issues related to the blood transfusion. Comparing the client's temperature with the temperature of the blood is important but alone it may not provide a comprehensive assessment of the client's condition during the transfusion process. So, the best course of action is to monitor the client's temperature at various time points to ensure accurate assessment and early detection of any complications.