Difficulty: Medium
Average Score: 76%
Simulated
The nurse is preparing to administer medications for an eight-month-old infant with heart failure. The infant has a blood pressure of 114/66 mm Hg, apical pulse of 88 beats/minute, and respirations of 30 breaths/minute. Which medication should the nurse withhold until the health care provider is notified?
Correct answer
B
Rationale
Digoxin is withheld if the apical pulse is below 90 beats/minute in infants to prevent toxicity. Other medications are not contraindicated.