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: 1000 mL
Infusion time: 8 hours
Drop factor: 15 gtt/mL
Formula:
Flow rate (gtt/min) = (Volume (mL) / Time (hr)) x Drop factor (gtt/mL) / 60 min/hr
Step 1: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Volume (mL) / Time (hr)
Infusion rate (mL/hr) = 1000 mL / 8 hr
Infusion rate (mL/hr) = 125 mL/hr
Step 2: Calculate the flow rate in gtt/min:
Flow rate (gtt/min) = (Infusion rate (mL/hr) x Drop factor (gtt/mL)) / 60 min/hr
Flow rate (gtt/min) = (125 mL/hr x 15 gtt/mL) / 60 min/hr
Flow rate (gtt/min) = 1875 gtt/hr / 60 min/hr
Flow rate (gtt/min) = 31.25 gtt/min
Step 3: Round to the nearest whole number:
Flow rate (gtt/min) ≈ 31 gtt/min
Correct Answer is A
Explanation
Given:
Ordered dose of Heparin: 15 units/kg/hr
Patient weight: 82 kg
Total Heparin in solution: 25,000 units
Volume of solution: 250 mL
Step 1: Calculate the total dose of Heparin in units/hr:
Total dose (units/hr) = Ordered dose (units/kg/hr) x Patient weight (kg)
Total dose (units/hr) = 15 units/kg/hr x 82 kg
Total dose (units/hr) = 1230 units/hr
Step 2: Calculate the concentration of Heparin in the solution:
Concentration (units/mL) = Total Heparin (units) / Volume of solution (mL)
Concentration (units/mL) = 25,000 units / 250 mL
Concentration (units/mL) = 100 units/mL
Step 3: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Total dose (units/hr) / Concentration (units/mL)
Infusion rate (mL/hr) = 1230 units/hr / 100 units/mL
Infusion rate (mL/hr) = 12.3 mL/hr
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