A nurse is caring for a client with a new prescription for digoxin for one week.
The client reported having blurred vision, vomiting, and weight loss of 4 pounds in one week.
Which of the following medications should the nurse anticipate to give to the client based on the presenting symptoms?

Choice A rationale: Furosemide is a loop diuretic used to reduce fluid overload in CHF patients. However, it can exacerbate electrolyte imbalances, particularly hypokalemia. Since the client is already experiencing muscle spasms and has low calcium levels, additional diuretic therapy could worsen these symptoms.

Choice B rationale: Metoprolol is a beta-blocker used to manage hypertension and heart rate in CHF patients. While beneficial for blood pressure control, it does not address the immediate issue of muscle spasms and constipation the client is experiencing.

Choice C rationale: Potassium chloride is indicated to address potential hypokalemia, which may be causing the client's muscle spasms. CHF patients on diuretics often experience low potassium levels, so supplementation is crucial to prevent complications and alleviate symptoms.

Choice D rationale: Acetaminophen is an analgesic and antipyretic, useful for pain and fever management. However, it does not address the client's reported muscle spasms, which are likely related to electrolyte imbalances.

Choice A rationale

Gemfibrozil is used to reduce elevated plasma triglycerides (VLDL) and increase HDL levels, which helps in managing hyperlipidemia.

Choice B rationale

This choice is incorrect as gemfibrozil does not reduce HDL but rather increases it while reducing plasma triglycerides (VLDL).

Choice C rationale

Gemfibrozil is not indicated for the treatment of hypertension; it is used for lipid disorders.

Choice D rationale

Gemfibrozil is not used for the treatment of deep vein thrombosis (DVT); it is specifically used to manage lipid levels.