A nurse is caring for a patient with atrial fibrillation who is on a daily regimen of digoxin. What action should the nurse take before administering this medication?

Measure the patient’s apical pulse.

Offer the patient a light snack.

Check the patient’s blood pressure.

Weigh the patient.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Before administering digoxin, it is crucial to measure the patient’s apical pulse. Digoxin affects the heart rate, and a low pulse could indicate that the dose needs to be adjusted.

Choice B rationale

Offering a light snack is not specifically required before administering digoxin.

Choice C rationale

While it’s always important to monitor a patient’s blood pressure, it’s not specifically required before administering digoxin.

Choice D rationale

Weighing the patient is not specifically required before administering digoxin.

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Correct Answer is B

Explanation

A. “Have you experienced any nausea or vomiting with your headache?” B. “Are the lights in this room bothering you?” C. “Have you noticed any confusion or clouded thinking?” D. “Did you feel weak before the headache started or do you feel weak now?”

Correct Answer is A

Explanation

Choice A rationale

Nausea and vomiting are common symptoms associated with migraines. Asking about these symptoms can help in assessing the severity of the migraine and planning appropriate interventions.

Choice B rationale

Sensitivity to light, also known as photophobia, is a common symptom of migraines. However, the presence of this symptom alone may not provide a comprehensive understanding of the patient’s condition.

Choice C rationale

While confusion or clouded thinking can occur with migraines, they are not as common as other symptoms such as nausea, vomiting, and sensitivity to light.

Choice D rationale

Feeling weak before the headache starts or currently feeling weak can be associated with migraines, but they are not the most common symptoms.

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A nurse is caring for a patient with atrial fibrillation who is on a daily regimen of digoxin. What action should the nurse take before administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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