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 D
Explanation
a) Increasing the frequency of medication dosing may lead to higher overall exposure and is not necessarily related to hepatic metabolism.
b) Ordering a dose that is higher than an adult dose could result in excessive drug levels, especially in a newborn with immature hepatic function.
c) Discontinuing the drug after one or two treatments may not be necessary if the dose is appropriately adjusted based on hepatic metabolism.
d) Ordering a lower dose is appropriate because hepatic metabolism in newborns is often immature, and lower doses are required to avoid toxicity.
Correct Answer is ["A","D"]
Explanation
A) Unreadable prescriptions can lead to medication errors, so clear and legible prescriptions are essential.
B) Using barcode scanning can help prevent errors by verifying the client's identity and ensuring the right medication is administered.
C) Complicated drug names that look or sound alike can contribute to errors, making it important to use caution and double-check.
D) Confusing drugs with similar packaging is a preventable cause of errors, and efforts should be made to differentiate packaging.
E) Administration route errors, like giving a drug intravenously instead of intramuscularly, are preventable through proper verification and adherence to procedures.
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