Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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An order on a 3 kilogram critically ill neonate’s chart reads as follows: give digoxin (Lanoxin) 0.50 mg NG daily. Which of the following nursing actions is appropriate in relation to the prescribed order?
  1. Question the physician about the order
  2. Hold the drug until a serum digoxin level is obtained
  3. Carry out the order as written
  4. Give the drug after checking the apical pulse and potassium level
Explanation
Answer - A - The nursing action that is appropriate in relation to the prescribed order is to question the physician about the order. Infants and newborn patients rarely receive more than 1 mL or 50 mcg or 0.05 mg in one dose. A high dose is an immediate warning of a dosage error.
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