A nurse is caring for a newly admitted patient who will receive Digoxin to treat cardiac dysrhythmia.
The patient takes hydrochlorothiazide and reports regular use of OTC laxatives.
Before administering the first dose of Digoxin, the nurse will review the patient’s electrolyte levels with careful attention to which electrolytes?
Calcium and magnesium.
Potassium and chloride.
Potassium and magnesium.
Sodium and calcium.
The Correct Answer is C
Choice A rationale
Calcium and magnesium imbalances are less likely to influence Digoxin's effects compared to potassium and magnesium.
Choice B rationale
While chloride levels are important, potassium is more critical due to its significant impact on Digoxin’s action.
Choice C rationale
Correct, potassium and magnesium levels are crucial as imbalances can potentiate Digoxin toxicity or reduce its efficacy.
Choice D rationale
Sodium and calcium imbalances are less directly related to Digoxin efficacy compared to potassium and magnesium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Ineffective health maintenance is appropriate due to the patient's inability to provide names and purposes of medications, indicating insufficient knowledge of their regimen.
Choice B rationale
Noncompliance implies intentional refusal of medication, which is not evident here as the patient is unaware rather than refusing.
Choice C rationale
Acute confusion is not indicated as the patient appears oriented and not disoriented.
Choice D rationale
Risk-prone health behavior is not appropriate as it suggests engagement in harmful activities, which is not described.
Correct Answer is B
Explanation
Choice A rationale
Pharmacodynamics is the study of how drugs affect the body, including the mechanisms of action and the relationship between drug concentration and effect. It does not describe the actions of the nurses in this context.
Choice B rationale
Pharmacotherapeutics involves the use of drugs to diagnose, treat, and prevent disease. The actions of the nurses in administering iodine, chemotherapy, and vaccines are examples of pharmacotherapeutics, as they are using drugs for therapeutic purposes.
Choice C rationale
Pharmacoeconomics is the study of the cost and value of drugs and therapies. It does not describe the actions of the nurses in administering medications.
Choice D rationale
Pharmacokinetics is the study of how the body absorbs, distributes, metabolizes, and excretes drugs. It does not describe the actions of the nurses in this context.
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