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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Medication reconciliation involves compiling a comprehensive and accurate list of the patient's current medications, which should be provided to the client at discharge to ensure continuity of care.
B. The list obtained from the client should include all medications the client is taking, including over-the-counter medications and supplements, not just those prescribed by the provider.
C. Verbal orders should be transcribed immediately into the medical record and should not be part of the medication reconciliation process.
D. Medication reconciliation should be an ongoing process throughout the patient's hospital stay to ensure that the most accurate list of medications is maintained.
Correct Answer is B
Explanation
A. Giving a report outside the client’s room might miss out on involving the patient in their care and ensuring privacy.
B. Bedside reporting allows for direct observation of the patient, involvement in care planning, and verification of information, which can improve safety and communication.
C. A conference area might be suitable but does not allow for the direct involvement of the patient and immediate clarification of concerns.
D. The nurse’s lounge is not an appropriate place for handoff reports as it can be noisy and lacks direct patient involvement.
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