A client with congestive heart failure receives digoxin (Lanoxin) to slow and strengthen ventricular contraction. He tells a nurse during his health history that he frequently uses amphetamines to "deal with all the stress."
Which assessments and diagnostics would be a priority for this client?
a. Urinalysis and creatinine clearance
b. Digoxin levels and palpation for edema
c. Blood pressure and BUN
d. Auscultation of heart rhythm and an ECG
ANS: D
Amphetamines may cause ventricular dysrhythmias. Digoxin may accentuate these rhythm changes, which need to be monitored through auscultation and a rhythm strip.
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