A nurse is preparing to administer digoxin to a client.
For which of the following findings should the nurse withhold the medication?

Apical pulse 54/min.

Respiratory rate 14/min.

BP 179/89 mm Hg.

Temperature 37.8° C (100° F)

Answer and Explanation

The Correct Answer is A

Choice A rationale:

An apical pulse of 54/min is below the normal range for adults. Digoxin, a cardiac medication, can lower the heart rate. Therefore, it’s crucial to hold the medication if the resting pulse for an adult is less than 60 bpm. This is to prevent further lowering of the heart rate which could lead to bradycardia, a potentially dangerous condition.

Choice B rationale:

A respiratory rate of 14/min is within the normal adult range of 12-20 breaths per minute. This would not be a reason to withhold digoxin.

Choice C rationale:

A blood pressure (BP) of 179/89 mm Hg indicates hypertension, which is not a direct contraindication for digoxin. However, it’s important to monitor BP levels in clients taking digoxin as the medication can affect blood pressure.

Choice D rationale:

A temperature of 37.8° C (100° F) is slightly elevated but would not be a reason to withhold digoxin unless it’s indicative of an underlying infection that needs to be addressed first.

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Correct Answer is C

Explanation

Choice Arationale:

Flaxseed is a rich source of omega-3 fatty acids and can have anti-inflammatory effects. It does not have any known contraindications with SLE.

Choice B rationale:

Glucosamine is often used to support joint health. It is not contraindicated in clients with SLE and may actually provide some benefits in terms of reducing joint pain and stiffness.

Choice C rationale:

Echinacea is an herbal supplement that is often used to boost the immune system. However, in clients with autoimmune disorders like SLE, boosting the immune system can actually exacerbate the disease. Therefore, Echinacea is contraindicated in clients with SLE.

Choice Drationale:

Ginger is a common herbal supplement that is often used for its anti-inflammatory and anti-nausea effects. It does not have any known contraindications with systemic lupus erythematosus (SLE)

A. Fish oil supplements. B. Calcium supplements. C. Bulk-forming laxatives. D. Oral antihistamines.

Correct Answer is B

Explanation

Choice A rationale:

Fish oil supplements do not have a known interaction with levothyroxine.

Choice B rationale:

Calcium supplements can interfere with the absorption of levothyroxine. They should be taken at least four hours apart from levothyroxine.

Choice C rationale:

While bulk-forming laxatives can interfere with the absorption of some medications, there’s no specific evidence they interfere with levothyroxine.

Choice D rationale:

Oral antihistamines do not have a known interaction with levothyroxine.

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A nurse is preparing to administer digoxin to a client.For which of the following findings should the nurse withhold the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is preparing to administer digoxin to a client.
For which of the following findings should the nurse withhold the medication?