The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin) to a patient who has heart failure
The patient reports having blurred vision. The nurse notes a heart rate of 60 beats per minute and a blood pressure of 140/78 mm Hg. Which action will the nurse take?
a. Administer the medications and request an order for serum electrolytes.
b. Give both medications and evaluate serum blood glucose frequently.
c. Hold the digoxin and notify the provider.
d. Hold the hydrochlorothiazide and notify the provider.
ANS: C
When thiazide diuretics are taken with digoxin, patients are at risk of digoxin toxicity because thiazides can cause hypokalemia. The patient has bradycardia and blurred vision, which are both signs of digoxin toxicity. The nurse should hold the digoxin and notify the provider. Serum electrolytes may be ordered, but the digoxin should not be given.
You might also like to view...
A client with an esophagogastric tube suddenly experiences acute respiratory distress. What should be the nurse's immediate action?
A. Call the physician. B. Cut the balloon ports and remove the tube. C. Place the client in an upright position and apply oxygen. D. Reduce the balloon pressure slightly using the sphygmomanometer.
A nurse is reviewing medications with a client with asthma. The client has been prescribed an intranasal corticosteroid but cannot remember the name of the medication. Which medications does the nurse know as intranasal corticosteroids?(Select all that apply.)
1. Fluticasone (FlonaseAllergy Relief) 2. Budesonide (Rhinocort Allergy Spray) 3. Diphenhydramine (Benadryl) 4. Oxymetazoline (Afrin) 5. Triamcinolone (Nasacort)
A primary care NP sees a patient who is about to take a cruise and reports having had motion sickness with nausea on a previous cruise. The NP prescribes the scopolamine transdermal patch and should instruct the patient to apply the patch:
a. daily. b. every 3 days. c. as needed for nausea. d. 1 hour before embarking.
A patient is prescribed phenytoin (Dilantin) for seizure activity. What should the nurse include when teaching the patient about this medication?
a. "Be sure to brush and floss your teeth daily." b. "Be sure to arrange for regular checkups for potassium levels." c. "You may notice some vision changes while taking this drug." d. "You may experience shortness of breath as a side effect of the drug."