A client who is taking digoxin asks the nurse if they can take an antacid for heartburn. What is the nurse's best response?
Yes. antacids can help alleviate heartburn caused by digoxin.
Yes, you can take antacids with digoxin without any interactions.
Yes, but make sure to take the antacid at least 2 hours before or after taking digoxin.
No, antacids can decrease the absorption of digoxin and result in a decreased drug effect.
The Correct Answer is C
A) Yes. Antacids can help alleviate heartburn caused by digoxin.
While antacids can help relieve heartburn, they do not directly alleviate heartburn caused by digoxin. In fact, antacids can interact with digoxin in a way that affects its absorption, potentially leading to suboptimal therapeutic effects.
B) Yes, you can take antacids with digoxin without any interactions.
Antacids can interact with digoxin and reduce its absorption, particularly those that contain aluminum, magnesium, or calcium. Therefore, it is important to space the administration of these medications to avoid potential drug interactions.
C) Yes, but make sure to take the antacid at least 2 hours before or after taking digoxin.. Antacids, especially those containing aluminum, calcium, or magnesium, can decrease the absorption of digoxin, reducing its effectiveness. To prevent this interaction, the nurse should advise the client to take the antacid at least 2 hours before or after taking digoxin to ensure that digoxin is properly absorbed and remains effective.
D) No, antacids can decrease the absorption of digoxin and result in a decreased drug effect.
While this statement is partly true in that antacids can decrease digoxin absorption, it is too absolute to recommend avoiding antacids altogether. The key is proper timing—taking antacids at least 2 hours apart from digoxin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Convert the dosage to mcg per hour:
15mcg/min×60min/hr=900mcg/hr15
Convert the available nitroglycerin concentration to mcg/mL:
25mg=25,000mcg
Theconcentrationis(25,000mcg/250mL)=100mcg
Calculate the flow rate in mL per hour using the dosage and concentration:
Flowrate(mL/hr)=(900mcg/hr100mcg/mL)=9mL/hr
Correct Answer is B
Explanation
Given:
Ordered dose of phenobarbital: 6 mg/kg/day divided equally every 12 hours
Patient weight: 44 lbs
Concentration of phenobarbital elixir: 20 mg/5 mL
Step 1: Convert patient weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Patient weight in kg = 44 lbs x 0.453592 kg/lb = 19.958 kg
Step 2: Calculate the total daily dose of phenobarbital:
Total daily dose (mg) = Ordered dose (mg/kg/day) x Patient weight (kg)
Total daily dose (mg) = 6 mg/kg/day x 19.958 kg
Total daily dose (mg) = 119.748 mg/day
Step 3: Calculate the dose per administration:
Dose per administration (mg) = Total daily dose (mg) / Number of administrations per day
Dose per administration (mg) = 119.748 mg/day / 2 administrations/day
Dose per administration (mg) = 59.874 mg
Step 4: Calculate the volume to be administered per dose:
Volume (mL) = Dose per administration (mg) / Concentration (mg/mL)
Volume (mL) = 59.874 mg / (20 mg/5 mL)
Volume (mL) = 59.874 mg x (5 mL / 20 mg)
Volume (mL) = 14.9685 mL
Step 5: Round to the nearest whole number:
Volume (mL) ≈ 15 mL
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