A patient has been taking digoxin (Lanoxin) for 5 years for the treatment of heart failure. In the last 3 months, she has noticed she is tired all the time, her heart rate is very slow, and she is always cold
The nurse assessing the patient notes her blood pressure at 88/50 and pulse rate is 44 . The nurse instructs the patient not to take her digoxin. What condition may the patient be suffering from that would contraindicate the administration of digoxin? A) Hypothyroidism
B) Myocardial infarction
C) Cerebrovascular accident
D) Intermittent claudication
A
Feedback:
Hypothyroidism slows digoxin metabolism and further slows the heart rate. The patient is presenting with signs and symptoms of hypothyroidism. The patient is not experiencing characteristic signs and symptoms of myocardial infarction, cerebrovascular accident, or intermittent claudication.
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