The nurse is preparing to administer digoxin to a patient who has a serum digoxin level of 2.5 ng/mL. The patient takes 0.25 mg of digoxin per day. What action will the nurse take?
a. Administer the next dose as ordered.
b. Notify the provider of digoxin toxicity.
c. Request an order to decrease the digoxin dose.
d. Suggest that the patient may need an increased digoxin dose.
ANS: B
The therapeutic range of digoxin is between 0.5 and 2 mg/mL. This patient's level is high, indicating toxicity. The nurse should not give the next dose or request a change in dose.
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