A patient with heart failure who has been given digoxin (Lanoxin) daily for a week complains of nausea. Before giving the next dose, the nurse will:
a. assess the heart rate (HR) and give the dose if the HR is greater than 60 beats per minute.
b. contact the provider to report digoxin toxicity.
c. request an order for a decreased dose of digoxin.
d. review the serum electrolyte values and withhold the dose if the potassium level is greater than 3.5 mEq/L.
ANS: A
Anorexia, nausea, and vomiting are the most common adverse effects of digoxin and should cause nurses to evaluate for more serious signs of toxicity. If the HR is greater than 60 beats per minute, the dose may be given. Nausea by itself is not a sign of toxicity. A decreased dose is not indicated. A serum potassium level less than 3.5 mEq/L is an indication for withholding the dose.
You might also like to view...
A client with multiple myeloma demonstrates worsening bone density on diagnostic scans. About what drug does the nurse plan to teach this client?
a. Bortezomib (Velcade) b. Dexamethasone (Decadron) c. Thalidomide (Thalomid) d. Zoledronic acid (Zometa)
The nurse is assessing a client who has left ventricular failure secondary to a myocardial infarction. Which clinical manifestation of poor organ perfusion does the nurse monitor for in this client?
a. Headache b. Hypertension c. Urine output of less than 30 mL/hr d. Heart rate of 55 to 60 beats/min
The client who is experiencing an overdose of heparin overdosage may be treated by:
a. vitamin K1. c. protamine sulfate. b. protamine zinc. d. aminocaproic acid.
Describe the patient education needed for managing dehydration in a pediatric patient.
What will be an ideal response?