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
Convert ounces to millilitres (1 oz = 29.5735 mL):
6oz×29.5735mL/oz=177.441mL6
Calculate the frequency of doses per day:
The patient receives a dose every 4 hours, so in 24 hours, the number of doses is:
24hours/4hours/dose=6doses
Calculate the total volume for all doses:
177.441mL/dose×6doses=1064.646mL
Rounding to the nearest whole number=1080 mL
Correct Answer is D
Explanation
Given:
Ordered dose of diphenhydramine: 25 mg
Available diphenhydramine: 12.5 mg/5 mL
Step 1: Set up the proportion:
Desired dose (mg) / Volume to administer (mL) = Concentration (mg/mL)
Step 2: Substitute the values:
25 mg / Volume = 12.5 mg/5 mL
Step 3: Solve for the unknown volume:
Volume = 25 mg / (12.5 mg/5 mL)
Volume = 25 mg x (5 mL / 12.5 mg)
Volume = 10 mL
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