A client who is taking digoxin asks the nurse if they can take an antacid for heartburn. What is the nurse's best response?
Yes. antacids can help alleviate heartburn caused by digoxin.
Yes, you can take antacids with digoxin without any interactions.
Yes, but make sure to take the antacid at least 2 hours before or after taking digoxin.
No, antacids can decrease the absorption of digoxin and result in a decreased drug effect.
The Correct Answer is C
A) Yes. Antacids can help alleviate heartburn caused by digoxin.
While antacids can help relieve heartburn, they do not directly alleviate heartburn caused by digoxin. In fact, antacids can interact with digoxin in a way that affects its absorption, potentially leading to suboptimal therapeutic effects.
B) Yes, you can take antacids with digoxin without any interactions.
Antacids can interact with digoxin and reduce its absorption, particularly those that contain aluminum, magnesium, or calcium. Therefore, it is important to space the administration of these medications to avoid potential drug interactions.
C) Yes, but make sure to take the antacid at least 2 hours before or after taking digoxin.. Antacids, especially those containing aluminum, calcium, or magnesium, can decrease the absorption of digoxin, reducing its effectiveness. To prevent this interaction, the nurse should advise the client to take the antacid at least 2 hours before or after taking digoxin to ensure that digoxin is properly absorbed and remains effective.
D) No, antacids can decrease the absorption of digoxin and result in a decreased drug effect.
While this statement is partly true in that antacids can decrease digoxin absorption, it is too absolute to recommend avoiding antacids altogether. The key is proper timing—taking antacids at least 2 hours apart from digoxin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Given:
Volume of fluid: 100 mL
Infusion time: 45 minutes
Step 1: Convert infusion time to hours:
Infusion time (hr) = 45 min / 60 min/hr
Infusion time (hr) = 0.75 hr
Step 2: Calculate the infusion rate in mL/hr:
Flow rate (mL/hr) = Volume (mL) / Infusion time (hr)
Flow rate (mL/hr) = 100 mL / 0.75 hr
Flow rate (mL/hr) = 133.3333333 mL/hr
Step 3: Round to the nearest whole number:
Flow rate (mL/hr) ≈ 133 mL/hr
Correct Answer is C
Explanation
To calculate:
1. Convert units:
1 oz = 30 mL
3 oz formula = 3 oz x 30 mL/oz = 90 mL
2 oz juice = 2 oz x 30 mL/oz = 60 mL
2. Calculate total oral intake:
Total oral intake = 10 mL (medication) + 90 mL (formula) + 60 mL (juice) = 160 mL
3. Calculate IV fluid intake:
IV fluid intake = 20 mL/hr x 8 hr = 160 mL
4. Calculate total fluid intake:
Total fluid intake = 160 mL (oral) + 160 mL (IV) = 320 mL
Answer: 320 mL
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