Before administering digoxin (Lanoxin), the nurse takes the adult patient's apical pulse for 1 full minute. What additional nursing consideration(s) will be taken before administration of the medication? (Select all that apply.)
a. Review of the digoxin blood level
b. Administration of the medication with pulse less than 60 beats/min
c. Review of serum electrolytes, liver, and kidney function studies
d. Administration of the medication with a pulse of 110 beats/min
e. Obtaining baseline patient assessment data, including lung sounds, vital signs, and weight
ANS: A, C, E
Before administering digoxin, the nurse should review digoxin levels, review baseline diagnostic data (electrolytes, liver, and kidney function tests), obtain appropriate physical assessments for heart failure patients, and verify that pulse rate is between 60 and 100 beats/min.
You might also like to view...
When instructing a patient on the use of a nitroglycerine patch, what should the patient be taught regarding the advantage of the nitroglycerine patch?
A) It is only administered one time per week. B) It is more effective than the tablets. C) It has a longer duration of action. D) It has a faster action than the tablets.
Which of the following is most effective in helping males choose healthier lifestyle behaviors?
a. Educational programs that include both threat and reward b. Involvement in team sports at school or at work c. Physician prescription for a specific behavior change d. Support from a female family member concerned about the man's well-being
The nurse is preparing to administer a first dose of benztropine (Cogentin) to a patient diagnosed with parkinsonism. The nurse would notify the patient's provider if the patient had a history of which condition?
a. Asthma b. Glaucoma c. Hypertension d. Irritable bowel disease
What would the critical care nurse expect to find if administering a fluid challenge to an 80-year-old patient had the intended effect?
1. A systolic blood pressure of 120 mm Hg or less 2. Heart rate remaining steady at 60 to 70 beats per minute 3. Skin turgor showing improvement within 24 hours 4. A MAP of 70 mm Hg or higher