The nurse is reviewing morning lab work for a client with dysrhythmias and notes a digoxin level of 0.5 ng/mL. Which nursing action is correct?
A) Hold the 9 AM digoxin dose and notify the physician.
B) Administer the 9 AM digoxin dose and notify the physician.
C) Administer the 9 AM digoxin; no physician notification is required.
D) Administer the 9 AM digoxin dose and repeat lab work after 1 hour.
B
Feedback:
A digoxin level of 0.5 ng/mL is subtherapeutic. The physician will most likely assess the client and increase the dose to obtain a therapeutic blood level. Although the dose may be adjusted, the nurse should give the prescribed dose until another dose is prescribed. Communication between the nurse and the physician include the amount of medication currently in the system, last dose given, and how and when the physician would like to increase the dose.
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