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 D
Explanation
Rationale:
Ordered Dose:
The prescription is for 12 mg of Celestone Soluspan (betamethasone) IM every 24 hours for 2 doses.
Available Dose (from label): The vial contains 6 mg/mL.
Dosage Calculation: Using the formula:
Volumetoadminister(mL) = Availableconcentration(mg/mL) / Ordereddose(mg)
Volumetoadminister = 12mg / 6mg/mL = 2 mL
Administration Route:
The order specifies IM (intramuscular) administration, aligning with the label instructions.
Thus, 2 mL IM is the correct dosage to administer.
Correct Answer is A
Explanation
Given:
Ordered dose of Dopamine: 3 mcg/kg/min
Child's weight: 41.8 lbs
Concentration of Dopamine: 400 mg in 250 mL D5W
Step 1: Convert child's weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Child's weight in kg = 41.8 lbs x 0.453592 kg/lb = 18.935 kg
Step 2: Calculate the total dose of Dopamine in mcg/min:
Total dose (mcg/min) = Ordered dose (mcg/kg/min) x Child's weight (kg)
Total dose (mcg/min) = 3 mcg/kg/min x 18.935 kg
Total dose (mcg/min) = 56.805 mcg/min
Step 3: Convert mcg to mg:
Total dose (mg/min) = Total dose (mcg/min) / 1000 mcg/mg
Total dose (mg/min) = 56.805 mcg/min / 1000 mcg/mg
Total dose (mg/min) = 0.056805 mg/min
Step 4: Calculate the total dose in mg/hr:
Total dose (mg/hr) = Total dose (mg/min) x 60 min/hr
Total dose (mg/hr) = 0.056805 mg/min x 60 min/hr
Total dose (mg/hr) = 3.4083 mg/hr
Step 5: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Total dose (mg/hr) / Concentration (mg/mL)
Infusion rate (mL/hr) = 3.4083 mg/hr / (400 mg/250 mL)
Infusion rate (mL/hr) = 3.4083 mg/hr x (250 mL/400 mg)
Infusion rate (mL/hr) = 2.1301875 mL/hr
Step 6: Round to the nearest tenth:
Infusion rate (mL/hr) ≈ 2.1 mL/hr
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.