MEDizzy - Based on developmental norms for a 5-year-old child, a nurse

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Nursing Care of School-Age Children

Based on developmental norms for a 5-year-old child, a nurse decides to withhold a scheduled dose of digoxin (Lanoxin) elixir and notify the health care provider. Below what apical pulse did the nurse withhold the medication?

ExplanationB. The purpose of digoxin (Lanoxin) is to slow and strengthen the apical rate. The apical rate for a healthy child of 5 years is 70 to 110 beats/min. If the apical rate is slow, administration of the drug may lower the apical rate to an unsafe level. Many health care providers set individual parameters to be followed. A. This rate is too far below that which necessitates withholding digoxin for children; it is the correct rate for withholding digoxin in adults. C, D. This is within the expected heart rate range of 5-year-old children and does not necessitate withholding digoxin.