Before administering digoxin to a client with valvular disease, the nurse assesses the apical heart rate as 62 beats/minute. The client's usual rate ranges between 66 to 72 beats/minute. Which is the best action for the nurse to take?
A) Hold the digoxin.
B) Recheck the apical pulse in 30 minutes.
C) Administer the digoxin.
D) Notify the physician.
C
Feedback:
A heart rate of 62 beats/minute falls within the normal range for administration of this drug. Holding the medication would not be recommended unless specific orders were detailed to do so. The nurse may decide to recheck the pulse but not required. Notifying the physician of normal findings is not efficient use of time/resources.
You might also like to view...
A client asks the nurse, "What can I do to avoid an episiotomy during birth?" Which responses should the nurse give? (Select all that apply)
a. "Using the lithotomy position during pushing may be beneficial." b. "Using prolonged breath-holding when pushing may help stretch the tissue." c. "Beginning at 36 weeks, a daily 10-minute perineal massage may help stretch the tissue." d. "Using an open glottis technique when pushing can promote gradual perineal stretching." e. "Delaying pushing until the urge is felt can gradually distend the soft tissues of the pelvic floor."
9.003 - 5.77 = ___________
Fill in the blank(s) with correct word
Which of the following is commonly seen in aging men?
A) Erectile dysfunction in 20% of all men B) Testicles ride higher within the scrotum C) Strong response to visual erotic cues D) Persistent sexual interest
A nurse observes a neonate with an irregular breathing pattern. The infant has an episode of rapid breathing, then has very slow breathing, and then has no noticeable breathing. Staining of the amniotic fluid was noted at birth. The nurse suspects:
a. Necrotizing enterocolitis b. Apnea c. Meconium aspiration syndrome d. Atelectasis