A nurse is teaching a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching?

Take the medication with food

Monitor your pulse rate daily

Avoid drinking grapefruit juice

All of the above

Answer and Explanation

The Correct Answer is D

All of the instructions are correct and important for a client who is taking digoxin. Digoxin is a cardiac glycoside that can improve the contractility and rhythm of the heart. However, it can also cause serious side effects, such as bradycardia, arrhythmias, or toxicity.

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Correct Answer is A

Explanation

The first step in managing a missed or delayed medication is to check if another nurse has given or withheld the medication for some reason. This can prevent duplicate or omitted doses and ensure continuity of care. The nurse should also check if there are any contraindications or changes in orders for giving the medication.

Incorrect choices:

b) Give the medication as soon as possible: Giving the medication as soon as possible may be appropriate, but it is not the first action. The nurse should verify if another nurse has given or withheld the medication before administering it.

c) Document why the medication was delayed: Documenting why the medication was delayed is important, but it is not the first action. The nurse should verify if another nurse has given or withheld the medication and give it if indicated before documenting.

d) Report the incident to the charge nurse: Reporting the incident to the charge nurse may be necessary, but it is not the first action. The nurse should verify if another nurse has given or withheld the medication and give it if indicated before reporting.

A. Furosemide B. Calcium gluconate C. Sodium bicarbonate D. All of the above

Correct Answer is D

Explanation

All of the medications are used to treat hyperkalemia, which is a high level of potassium in the blood. Hyperkalemia can cause cardiac arrhythmias, muscle weakness, or paralysis.

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A nurse is teaching a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's medication administration record (MAR). The nurse notices that a medication that was due at 0900 has not been given. It is now 1030. What should the nurse do first?

Correct Answer is A

Explanation

A nurse is reviewing a client's laboratory results and notices that the potassium level is 6.2 mEq/L. The nurse knows that this value indicates hyperkalemia. Which of the following medications should the nurse anticipate to administer?

Correct Answer is D

Explanation

A nurse is preparing to administer insulin to a client with diabetes mellitus. The nurse draws up 10 units of regular insulin and 20 units of NPH insulin in the same syringe. Which of the following actions should the nurse take next?

A nurse is caring for a client who has been prescribed warfarin for atrial fibrillation. The nurse notices that the client's INR is 6.5. What should the nurse do first?

A nurse is teaching a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching?

A nurse is administering medication to a client via a nasogastric (NG) tube. The nurse crushes the medication and mixes it with water. Which of the following actions should the nurse take next?

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