In which situation would the nurse hold digoxin?
When the lab reports a digoxin level 1.2 ng/mL
When the client complains of seeing yellow-green halos
When the client is edematous
When the client is pacing and very thirsty
The Correct Answer is B
a) A digoxin level of 1.2 ng/mL is within the therapeutic range, and holding the medication based solely on the level may not be necessary.
b) Seeing yellow-green halos is a symptom of digoxin toxicity, and holding the medication is appropriate to prevent further adverse effects.
c) Edema alone may not be a contraindication for administering digoxin; the nurse would assess other factors such as heart rate and rhythm.
d) Pacing and thirst are not specific signs of digoxin toxicity, and the nurse would need to assess other symptoms and factors before deciding to hold the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. The symptoms described (bruises, dark tarry stools, elevated INR) are indicative of warfarin overdose or excessive anticoagulation, not leukemia.
b. This is the correct answer because holding the warfarin is necessary to prevent further bleeding complications, and consulting the provider is essential for guidance on the next steps.
c. Giving Vitamin K may be necessary in cases of severe bleeding due to warfarin, but it is not the initial action. Consulting the provider is the priority.
d. Giving warfarin with a dark green salad may exacerbate the situation and increase the risk of bleeding. Checking the next stool for blood does not address the immediate issue of anticoagulation excess.
Correct Answer is B
Explanation
a) Tetracycline should not be taken with calcium supplements as calcium can interfere with its absorption, but this is not related to tooth discoloration.
b) Tetracycline can cause yellow or brown discoloration of teeth in children with developing permanent teeth. It is generally contraindicated in children under 8 years of age.
c) Lactose intolerance is not directly related to the risk of tooth discoloration with tetracycline.
d) Tetracycline is generally contraindicated in pregnant clients, especially after the fourth month of gestation, due to potential effects on fetal bone and tooth development.
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