An older patient with a history of atrial fibrillation is prescribed digoxin 62.5 ?g daily. For which assessment finding should the nurse hold the medication and reassess the patient later?
A) Blood pressure is 98/55 mm Hg
B) Heart rate is 60 beats per minute
C) Demonstrating agitation and delirium
D) Oxygen saturation level is 90% by pulse oximeter
C
Feedback:
Agitation and delirium are manifestations of digitalis toxicity. The medication should be withheld and the health care provider notified of the patient's manifestations. A low blood pressure is not typically associated with digoxin. An oxygen saturation level of 90% is within normal limits. A heart rate of 60 beats per minute is typically the lowest acceptable range for administering the medication.
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