Apical, Brachial, Pedal, Radial My answer is Brachial
Question 2: If you have an infant with CHF and takes 1.25oz formula in 20 minutes and the doctor ordered 2oz of formula q3H the best action for the nurse to take is: Continue feeding slowly, stop the feeding and request a gavage feeding PRN, burp the unfant and try to stimulate sucking, ask mom to feed the infant when she arrives. I believe to continue feeding slowly allowing as much time as infant needs to finish
Digoxin blocks the AV node, decreasing the heart rate. If your heart rate is already too slow (less than 60 beats a minute), the medication can decrease the heart rate to a dangerous level.
Pulse: Apical
Burp and try to stimulate sucking
You need to check not only the heart rate, but also rhythm and quality of pulse. In case there is irregular beats where there were none or if heart rate falls below 60, consult doctor.
Before you give Dig make sure and check their APICAL pulse for 60 seconds.
My guess for question 2 would be continue feeding slowly, the infant has only had 1.25oz and can have 2 oz q3h so i don’t see a problem, but i’m not completely sure.
are you studying for the nclex?
References :
Digoxin blocks the AV node, decreasing the heart rate. If your heart rate is already too slow (less than 60 beats a minute), the medication can decrease the heart rate to a dangerous level.
Pulse: Apical
Burp and try to stimulate sucking
You need to check not only the heart rate, but also rhythm and quality of pulse. In case there is irregular beats where there were none or if heart rate falls below 60, consult doctor.
References :