A nurse is preparing to administer digoxin to a client.
For which of the following findings should the nurse withhold the medication?

Apical pulse 54/min.

Respiratory rate 14/min.

BP 179/89 mm Hg.

Temperature 37.8° C (100° F)

Answer and Explanation

The Correct Answer is A

Choice A rationale:

An apical pulse of 54/min is below the normal range for adults. Digoxin, a cardiac medication, can lower the heart rate. Therefore, it’s crucial to hold the medication if the resting pulse for an adult is less than 60 bpm. This is to prevent further lowering of the heart rate which could lead to bradycardia, a potentially dangerous condition.

Choice B rationale:

A respiratory rate of 14/min is within the normal adult range of 12-20 breaths per minute. This would not be a reason to withhold digoxin.

Choice C rationale:

A blood pressure (BP) of 179/89 mm Hg indicates hypertension, which is not a direct contraindication for digoxin. However, it’s important to monitor BP levels in clients taking digoxin as the medication can affect blood pressure.

Choice D rationale:

A temperature of 37.8° C (100° F) is slightly elevated but would not be a reason to withhold digoxin unless it’s indicative of an underlying infection that needs to be addressed first.

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Correct Answer is ["1"]

Explanation

Step 1: Convert the child's weight from pounds to kilograms.

44 pounds / 2.2 pounds/kg = 20 kg

Step 2: Calculate the child's total daily dose of gentamicin.

20 kg * 6 mg/kg/day = 120 mg/day

Step 3: Divide the child's total daily dose of gentamicin by the number of doses per day.

120 mg / 3 doses/day = 40 mg/dose

Step 4: Calculate the volume of gentamicin to be administered with each dose.

40 mg / 40 mg/mL = 1 mL/dose

Step 5: Round the answer to the nearest whole number and add a leading zero if necessary.

1 mL/dose = 1 mL/dose

Answer: 1 mL with each dose.

A. "We should be sure that he eats a lot of protein with each meal.” B. "We should watch for an increase in unusual movements.” C. "This medication will prevent the disease from progressing.” D. "This medication should result in a rapid improvement in his condition.”

Correct Answer is B

Explanation

Choice A rationale:

While it’s important for the client to maintain a balanced diet, consuming a lot of protein with each meal does not specifically benefit a person taking levodopa/carbidopa for Parkinson’s disease.

Choice B rationale:

Levodopa/carbidopa can cause side effects such as uncontrolled muscle movements in the face, arms, legs, or trunk. Therefore, monitoring for an increase in unusual movements is a sign of understanding the potential side effects of the medication.

Choice C rationale:

Levodopa/carbidopa helps manage the symptoms of Parkinson’s disease but does not prevent the disease from progressing.

Choice D rationale:

While levodopa/carbidopa can help reduce symptoms such as stiffness and tremors, it does not typically result in a rapid improvement in condition.

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A nurse is preparing to administer digoxin to a client.For which of the following findings should the nurse withhold the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1"]

Explanation

A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa.Which of the following statements made by the client's family indicates an understanding of the teaching?

Correct Answer is B

Explanation

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A nurse is preparing to administer digoxin to a client.
For which of the following findings should the nurse withhold the medication?