A patient who has been taking digoxin 0.25 mg daily for 6 months reports that it is not working as well as it did initially. The primary care NP should:
a. recommend a reduced potassium intake.
b. increase the dose of digoxin to 0.5 mg daily.
c. hold the next dose of digoxin and obtain a serum digoxin level.
d. contact the patient's pharmacy to ask if generic digoxin was dispensed.
D
Clinicians should be aware that generic digoxin marketed by different companies may not be bioequivalent to the branded digoxin (Lanoxin). Patients with hyperkalemia would show intensified effects, not diminished effects of digoxin. Patients with diminished effects may have received a generic brand. It is not correct to increase the dose of digoxin without first obtaining a digoxin level. Because this patient is reporting decreased effects, it is unnecessary to suspect toxicity.
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Which of the following nursing care models are hospital-based?
a. Case management b. Functional c. Private duty d. Team
The LPN reminds a group of students that the values they demonstrate in their practice have their roots in:
1. nursing school education. 2. family influence. 3. peer relationships. 4. agency policies.
In the preparation to perform skin testing, the nurse should:
1. select an 18-gauge needle. 2. inject 1 mL intradermally. 3. check the site in 2 to 3 days for swelling. 4. wrap the site with a pressure dressing.
The health care provider orders doxycyline 100 mg PO every 12 hours for 7 days. The pharmacy fills the prescription with 0.1 g doxycyline capsules. The nurse should instruct the patient to take ____ capsules per day
Fill in the blank(s) with correct word