NCLEX-PN Practice Q 9

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The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The nurse should:

  

     A. Record the heart rate and call the physician

     B. Record the heart rate and administer the medication

     C. Administer the medication and recheck the heart rate in 15 minutes

     D. Hold the medication and recheck the heart rate in 30 minutes

    

    

Correct Answer: B. Record the heart rate and administer the medication

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Option B: The infant’s apical heart rate is within the accepted range for administering the medication.

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Options A, C, and D: The apical heart rate is suitable for giving the medication.

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