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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Free Nursing Study Resources

Correct Answer is ["A","C","D","E"]

Explanation

Smoking, Diabetes, Atherosclerosis, and Weak pedal pulses.

Factors that contribute to poor circulation to the limb include:

Smoking: It can cause constriction and damage to the blood vessels, leading to poor circulation.
Diabetes: High blood sugar levels can damage blood vessels and nerves, leading to poor circulation.
Atherosclerosis: This is a condition where plaque builds up in the arteries, narrowing them and reducing blood flow.
Weak pedal pulses: This can be a sign of reduced blood flow to the lower extremities. A sodium-restricted diet (Choice B) is not typically associated with poor circulation.

A. “Use soap and water to clean the catheter after each use.”. B. “Hold the penis at a 30 to 45-degree angle when inserting the catheter.”. C. “Perform catheterization when you feel the urge to void.”. D. “Inflate the balloon when the urine flow stops.”.

Correct Answer is A

Explanation

Choice A rationale

Cleaning the catheter after each use with soap and water is a crucial step in preventing infection during self-catheterization.

Choice B rationale

The angle at which the penis should be held during catheter insertion can vary, but a 30 to 45- degree angle is not typically recommended.

Choice C rationale

Performing catheterization when feeling the urge to void is not typically part of the instructions for clean intermittent self-catheterization.

Choice D rationale

Inflating the balloon when the urine flow stops is not a step in clean intermittent self- catheterization. This step is associated with indwelling catheters, not intermittent catheters.

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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

A nurse is caring for a patient suspected of having compromised blood flow to a limb. What factors contribute to poor circulation to the limb?

Correct Answer is ["A","C","D","E"]

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Correct Answer is A

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