A nurse is caring for a newly admitted patient who will receive Digoxin to treat cardiac dysrhythmia.
The patient takes hydrochlorothiazide and reports regular use of OTC laxatives.
Before administering the first dose of Digoxin, the nurse will review the patient’s electrolyte levels with careful attention to which electrolytes?
Calcium and magnesium.
Potassium and chloride.
Potassium and magnesium.
Sodium and calcium.
The Correct Answer is C
Choice A rationale
Calcium and magnesium imbalances are less likely to influence Digoxin's effects compared to potassium and magnesium.
Choice B rationale
While chloride levels are important, potassium is more critical due to its significant impact on Digoxin’s action.
Choice C rationale
Correct, potassium and magnesium levels are crucial as imbalances can potentiate Digoxin toxicity or reduce its efficacy.
Choice D rationale
Sodium and calcium imbalances are less directly related to Digoxin efficacy compared to potassium and magnesium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Evidence of human fetal risk would categorize the drug as Category D or X, not Category B.
Choice B rationale
This statement aligns more with Category C drugs, where animal studies show adverse effects, but not Category B.
Choice C rationale
This describes Category A drugs, not Category B.
Choice D rationale
Category B drugs have shown no risk in animal studies but lack adequate human studies, fitting this description.
Correct Answer is C
Explanation
Choice A rationale
Monitoring the weekly pulse is not sufficient for managing ventricular arrhythmias at home. Continuous or daily monitoring of vital parameters is more effective.
Choice B rationale
Monitoring daily fluid intake is essential for overall health but not directly related to the management of ventricular arrhythmias with propranolol (Inderal).
Choice C rationale
Daily blood pressure monitoring is crucial for patients on propranolol, as this medication can significantly lower blood pressure, and tracking it helps prevent hypotension.
Choice D rationale
Weekly weight monitoring is important for patients with heart conditions, but daily monitoring of blood pressure is more directly related to the management of ventricular arrhythmias with propranolol.
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