A nurse is assessing a client prior to administering digoxin. Which of the following findings should the nurse immediately report to the provider?
Bradycardia
Blurred vision
Hypokalemia
Anorexia
The Correct Answer is C
A. Bradycardia is a known side effect of digoxin but should be interpreted in context with heart rate before administration.
B. Blurred vision is a possible sign of digoxin toxicity, but hypokalemia greatly increases the risk for toxicity and requires immediate attention.
C. Hypokalemia increases the risk for digoxin toxicity and must be corrected before administration. The nurse should notify the provider immediately.
D. Anorexia may be an early sign of toxicity, but hypokalemia poses a more immediate and significant risk.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bradycardia is a known side effect of digoxin but should be interpreted in context with heart rate before administration.
B. Blurred vision is a possible sign of digoxin toxicity, but hypokalemia greatly increases the risk for toxicity and requires immediate attention.
C. Hypokalemia increases the risk for digoxin toxicity and must be corrected before administration. The nurse should notify the provider immediately.
D. Anorexia may be an early sign of toxicity, but hypokalemia poses a more immediate and significant risk.
Correct Answer is A
Explanation
A. Acetaminophen is metabolized by the liver, and a history of alcohol use disorder increases the risk of hepatotoxicity. The nurse should notify the provider before administration.
B. A blood pressure of 92/60 mm Hg is low but not contraindicated for acetaminophen, which does not typically affect blood pressure.
C. Recurrent headaches may be a reason for acetaminophen use and are not a contraindication.
D. Hypothyroidism does not interact adversely with acetaminophen and does not require withholding the medication.
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