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 D
Explanation
A. The route is not explicitly mentioned; "PO" (by mouth) indicates the route.
B. The medication "atorvastatin" is clearly stated.
C. The time/frequency "BID" (twice a day) is specified.
D. The dosage "80" is incomplete since it lacks the units. The nurse should clarify the exact dosage to ensure there is no misunderstanding.
Correct Answer is A
Explanation
A. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
B. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
C. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
D. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
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