ATI Pediatric Proctored Exam

ATI Pediatric Proctored Exam Related

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What is the most appropriate nursing consideration for a patient who is prescribed verapamil and digoxin?

  • A. Restrict intake of oral fluids and high-fiber foods
  • B. Take an apical pulse for 30 seconds before administration
  • C. Notify the healthcare provider of nausea, vomiting, and visual changes
  • D. Hold the medications if the heart rate is greater than 110 bpm
Correct Answer: C

Rationale: When a patient is prescribed verapamil and digoxin, it is crucial to monitor for signs of digoxin toxicity due to the potential interaction between these medications. Verapamil can elevate digoxin blood serum levels, increasing the risk of toxicity. Symptoms of digoxin toxicity include nausea, vomiting, and visual changes. Restricting intake of oral fluids and high-fiber foods is not a specific consideration related to this medication combination. Before administering digoxin, it is essential to take an apical pulse for a full minute, not just 30 seconds. Additionally, holding the medications if the heart rate exceeds 110 bpm is not a typical response to the combination of verapamil and digoxin, which can cause bradycardia rather than tachycardia.

You may also like to solve these questions

The nurse is preparing to administer a daily dose of digoxin. What is the priority nursing intervention?

  • A. Analyze HR and rhythm
  • B. Assess for Homan’s sign
  • C. Check BP
  • D. Palpate the pedal pulses
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A 9-month-old infant who is not sitting independently has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?

  • A. Hypotonia and muscle instability
  • B. Hypertonia and persistence of primitive reflexes
  • C. Tremors and exaggerated posturing
  • D. Hemiplegia and hypertonia
Correct Answer: A

Rationale: In ataxic cerebral palsy, the characteristic features include hypotonia (low muscle tone) and muscle instability. These manifestations contribute to the infant's difficulty in achieving independent sitting. Hypertonia (increased muscle tone) and persistence of primitive reflexes, as mentioned in option B, are more commonly associated with other types of cerebral palsy. Tremors and exaggerated posturing (option C) are not typical features of ataxic CP. Hemiplegia (paralysis of one side of the body) and hypertonia (increased muscle tone) mentioned in option D are more commonly seen in other types of cerebral palsy, such as spastic CP.

The age at which the infant can achieve early head control with bobbing motion when pulled to sit is

  • A. 2 months
  • B. 3 months
  • C. 4 months
  • D. 6 months
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A nurse is caring for a child who has a new diagnosis of osteomyelitis. Which of the following actions should the nurse take?

  • A. Administer aspirin for pain.
  • B. Apply ice to the affected area.
  • C. Monitor the child’s weight daily.
  • D. Limit the child's activity.
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which assessment finding for a 4-month-old infant would require further action by the nurse?

  • A. The posterior fontanel is open.
  • B. The infant has good head control when held upright.
  • C. The infant is able to roll only from abdomen to back.
  • D. The anterior fontanel is open and soft.
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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