Practice Question
Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-old infant's heart rate is 120 beats/minute. Based on this finding, what action should the PN take?
Answer Choices:
Correct Answer:
Administer the medication and document the heart rate.
Rationale:
🟢 A heart rate of 120 bpm is normal for a 2-month-old infant, falling within the safe range for digoxin administration.
🟢 Digoxin should be withheld only if the apical heart rate is below the threshold—typically <90-100 bpm for infants.
🟢 Since the rate is appropriate, the PN should administer the medication as prescribed without delay.
🟢 Documenting the pre-administration heart rate is a key nursing responsibility to monitor therapeutic response and safety.
🟢 Accurate charting helps track trends and supports clinical decision-making if bradycardia develops later.
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This question is from PN Comprehensive Predictor~2023 Exam 2 which contains 176 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exit Exam(s)
- Domain: Exit Exam(s)~2023
- Answer Choices: 4