Based on a client's serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?
Give digoxin by another route to slow absorption.
Begin cardioversion to stabilize heart rhythm.
Administer potassium to stabilize the heart rate.
Check acid-base and electrolyte values.
The Correct Answer is D
A. Administering digoxin by another route is not appropriate for managing toxicity.
B. Cardioversion may be considered if there are significant arrhythmias, but the immediate action is to address the toxicity.
C. Potassium administration may be needed in the case of digoxin toxicity, especially if there is hypokalemia, but the first step is to check for electrolyte imbalances.
D. Checking acid-base and electrolyte values is crucial to manage digoxin toxicity effectively and guide further treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"C"},"E":{"answers":"C"},"F":{"answers":"C"},"G":{"answers":"C"}}
Explanation
- The reported slight rectal burning sensation after the administration of a bisacodyl suppository is likely a non-therapeutic side effect. This sensation is a common reaction to rectal medication administration and not directly related to the therapeutic effects of lactulose.
- A large, soft stool can be considered a therapeutic result of lactulose, which is often prescribed as a laxative to treat constipation. Its effectiveness is indicated by the production of soft stools.
- Dizziness experienced by the patient after requesting to use the restroom could be an unrelated finding or a non-therapeutic side effect. Given that morphine was administered, which can cause dizziness as a side effect, it is important to consider all medications and their interactions when assessing this symptom.
- A pain level of 3 on a 0 to 10 pain scale is an unrelated finding concerning the administration of lactulose. Pain assessment is subjective and can be influenced by various factors unrelated to lactulose treatment.
- The voiding of 600ml of urine is an unrelated finding to the lactulose treatment. Urine output is influenced by many factors, including fluid intake and other medications.
- An abdomen that is soft and flat is an unrelated finding to the lactulose treatment. This is a normal physical examination finding and does not directly correlate with the administration of lactulose.
- A respiratory rate of 13 breaths/min is also an unrelated finding to the lactulose treatment. The normal respiratory rate for an adult is typically between 12 to 20 breaths per minute.
Correct Answer is D
Explanation
A. Assessing the client's strength in moving and turning is important for overall care but not specific to the need for a laxative.
B. Observing skin integrity is crucial for preventing pressure ulcers but does not directly relate to the need for a laxative.
C. Evaluating the ability to recognize the urge to defecate is important for understanding bowel habits but less relevant when preparing to administer a laxative.
D. Determining the frequency and consistency of bowel movements is essential to assess the need for a laxative and to monitor its effectiveness.
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