ATINur2708 Pediatrics Final Exam | Nurselytic

Questions 51

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ATINur2708 Pediatrics Final Exam Questions

Extract:

Adolescent with congestive heart failure, taking digoxin daily, refused breakfast, complaining of nausea and weakness.


Question 1 of 5

A nurse is caring for an adolescent client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: The correct action for the nurse to take first is to check the client's vital signs (
Choice
C). Vital signs can provide critical information about the client's current condition, including potential complications such as digoxin toxicity, which can manifest as nausea and weakness. Monitoring vital signs can help assess the client's overall stability and guide further interventions. Requesting a dietitian consult (
Choice
A) and suggesting rest before eating (
Choice
D) are important but not the priority in this situation. Requesting an antiemetic (
Choice
B) may address symptoms but does not address the underlying cause. Checking vital signs is the initial step to ensure the client's safety and well-being.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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