Which vital sign is of greatest concern to the nurse prior to administering digoxin (Lanoxin)?
1. Heart rate
2. Temperature
3. Blood pressure
4. Respiratory rate
Correct Answer: 1
Rationale: An apical pulse should be checked for one full minute prior to administering digoxin. If the heart rate is low (generally 60 bpm), the medication should be held and the ordering practitioner informed. Digoxin can suppress electrical activity within the heart and lower heart rate.
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