You are the nurse preparing to give a child a dose of digoxin. Before giving the digoxin, you would first check the apical pulse, and you would also be most interested in making sure which of the following levels were within normal?
a. red blood cell count c. potassium levels
b. chloride levels d. platelet
C
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A Incorrect. Before giving digoxin, you would first check the apical pulse. However, the red blood cell count would not be relevant.
B Incorrect. Before giving digoxin, you would first check the apical pulse. However, the chloride level would not be relevant.
C Correct. Before giving digoxin, you would first check the apical pulse and serum potassium level which should be normal. Hypokalemia in combination with digoxin can result in ventricular arrhythmias and can enhance digoxin toxicity.
D Incorrect. Before giving digoxin, you would first check the apical pulse. However, the platelet levels would not be relevant.
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