The nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?
Check the pulse rate for 30 seconds and multiply the result by 2
Increase intake of sodium
Contact the health care provider for heart rate less than 60/min
Take the medication with food if you develop nausea
The Correct Answer is C
A. Checking the pulse rate for 30 seconds and multiplying by 2 may not be accurate enough for a medication like digoxin, which requires precise monitoring.
B. Increasing sodium intake is not recommended for heart failure patients as it can worsen fluid retention and exacerbate symptoms.
C. Digoxin can cause bradycardia; therefore, it is crucial for clients to monitor their heart rate and contact their healthcare provider if it falls below 60/min to avoid adverse effects.
D. Taking digoxin with food can help with nausea but is not as critical as monitoring heart rate for potential toxicity.
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Related Questions
Correct Answer is D
Explanation
A. 1 pint is actually approximately 473 mL, not 960 mL, making this conversion incorrect. Providing accurate conversion information is essential for ensuring proper medication dosing and patient safety.
B. 1 teaspoon (tsp) is equal to 5 mL, not 10 mL. Incorrect conversions can lead to dosing errors, potentially resulting in underdosing or overdosing.
C. 2 tablespoons (Tbsp) is actually equal to 30 mL, not 15 mL. Accurate conversions are crucial for patient safety, particularly in pediatric and elderly populations where precise dosing is critical.
D. 1 cup is correctly equal to 240 mL, making this conversion accurate. Correct conversions ensure that patients receive the appropriate volume of medication or fluid.
Correct Answer is A
Explanation
A. An allergic reaction is an immune response to a medication, even if the patient has taken the medication before without issues. Symptoms like hives and itching are classic signs of an allergic reaction.
B. A side effect is an expected, often mild and predictable reaction to a medication, not typically involving an immune response and severe symptoms like hives.
C. A toxic effect refers to harmful effects from a medication overdose or accumulation in the body, not sudden onset after an appropriate dose.
D. An idiosyncratic reaction is an uncommon response not related to allergies or toxic effects, usually not presenting with hives and itching.
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