A client with chronic kidney disease is scheduled to be given the following medications: digoxin (Lanoxin) and epoetin alfa (Epogen). The client reports nausea and vomiting and wishes to wait to take the medications
Which action by the nurse is most appropriate? a. Administer both medications with soda crackers.
b. Allow the client to wait an hour before taking the medications.
c. Review today's potassium level and notify the health care provider.
d. Call the health care provider to get an or-der for anti-nausea medication.
C
Clients with kidney failure are particularly at risk for digoxin toxicity because the drug is ex-creted by the kidneys. When caring for clients with chronic kidney disease (CKD) who are re-ceiving digoxin, monitor for signs of toxicity, such as nausea and vomiting. Potassium imbalances can alter digoxin levels as well. The nurse should hold the dose, check the current potassium level, and notify the provider. Giving the digoxin could be dangerous, so the nurse should not administer it with crackers, give it later, or ask for an anti-nausea medication.
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