A nurse is caring for a patient with atrial fibrillation who is on a daily regimen of digoxin. What action should the nurse take before administering this medication?

Measure the patient’s apical pulse.

Offer the patient a light snack.

Check the patient’s blood pressure.

Weigh the patient.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Before administering digoxin, it is crucial to measure the patient’s apical pulse. Digoxin affects the heart rate, and a low pulse could indicate that the dose needs to be adjusted.

Choice B rationale

Offering a light snack is not specifically required before administering digoxin.

Choice C rationale

While it’s always important to monitor a patient’s blood pressure, it’s not specifically required before administering digoxin.

Choice D rationale

Weighing the patient is not specifically required before administering digoxin.

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Correct Answer is D

Explanation

Choice A rationale

Bacteria are not a known risk factor for osteoarthritis. Osteoarthritis is a degenerative joint disease, not an infectious disease caused by bacteria.

Choice B rationale

Diuretics are a type of medication used to remove excess water from the body. They are not a known risk factor for osteoarthritis.

Choice C rationale

Aging is a risk factor for osteoarthritis. The risk of developing osteoarthritis increases with age.

Choice D rationale

Obesity is a significant risk factor for osteoarthritis. Excess weight puts additional stress on weight-bearing joints, such as the knees and hips, which can lead to the development of osteoarthritis.

A. Constipation B. Weight gain of 5 lb in 1 month C. Insomnia D. Muscle stiffness .

Correct Answer is D

Explanation

Choice A rationale

Constipation is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.

Choice B rationale

Weight gain of 5 lb in 1 month could be a side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.

Choice C rationale

Insomnia is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.

Choice D rationale

Muscle stiffness could be a sign of a serious side effect of aripiprazole known as extrapyramidal symptoms. This could include conditions such as dystonia, akathisia, and Parkinsonism. If a patient experiences muscle stiffness while taking aripiprazole, the healthcare provider should be notified.

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A nurse is caring for a patient with atrial fibrillation who is on a daily regimen of digoxin. What action should the nurse take before administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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