A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer?
Flumazenil
Acetylcysteine
Naloxone
Fab antibody fragments
The Correct Answer is D
A) Flumazenil: Flumazenil is an antidote used to reverse the effects of benzodiazepines, which are central nervous system depressants. It is not effective in treating digoxin toxicity, as it does not interact with the cardiac glycoside effects of digoxin.
B) Acetylcysteine: Acetylcysteine is primarily used as an antidote for acetaminophen overdose and to help manage mucus in respiratory conditions. It has no effect on digoxin toxicity and would not be appropriate for treating this condition.
C) Naloxone: Naloxone is an opioid antagonist used to reverse the effects of opioid overdose. Like flumazenil and acetylcysteine, naloxone is not effective in addressing digoxin toxicity and does not counteract the effects of cardiac glycosides.
D) Fab antibody fragments: Fab antibody fragments, also known as Digoxin-specific antibody fragments (Digibind or DigiFab), are the appropriate treatment for severe digoxin toxicity. These fragments bind to digoxin, neutralizing its effects and allowing the body to eliminate it safely. This is the most effective and specific treatment for life-threatening digoxin toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Check the client's vital signs:
The first priority after administering the wrong medication is to assess the client's immediate condition and check for any adverse reactions or changes in vital signs. This helps determine if the medication has caused any immediate harm and guides further action to ensure the client's safety.
B) Document the client's condition in the electronic medical record:
Documenting the incident is important for legal and clinical reasons, but it should be done after addressing the immediate health concerns of the client. Ensuring the client’s safety is the top priority.
C) Notify the provider:
Notifying the healthcare provider is crucial, but it is important to first assess the client's condition. Once the client’s immediate needs are addressed, informing the provider will help in deciding further medical interventions or adjustments needed.
D) Fill out an incident report:
Filling out an incident report is a necessary step for documenting the error and contributing to quality improvement processes, but it should be done after the client’s safety has been assured and immediate medical concerns have been addressed.
Correct Answer is ["10"]
Explanation
Calculating the Diphenhydramine Dose
Problem: Administer 25 mg of diphenhydramine elixir. The available concentration is 12.5 mg/5 mL.
Steps:
Set up a proportion:
We want to find the number of milliliters (mL) needed.
We know the desired dose (25 mg) and the concentration of the medication (12.5 mg/5 mL).
Proportion:
x mL / 25 mg = 5 mL / 12.5 mg
Cross-multiply:
12.5x = 125
Solve for x:
x = 125 / 12.5
x = 10
Answer: The nurse should administer 10 mL of diphenhydramine elixir per dose.
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