A nurse is preparing to administer medications to a 68-year-old female client admitted to the cardiology unit.
On the second day following admission, which medication requires clarification prior to administration?
Complete the following sentence by using the list of options:
The nurse should clarify the prescription for
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}
The nurse should clarify the prescription for Digoxin due to the client's Irregular heart rhythm.
Rationale for correct prescription: Digoxin requires clarification because it can cause or exacerbate irregular heart rhythms. The client's irregular heart rhythm could indicate digoxin toxicity or an inappropriate dose. Monitoring and adjusting the digoxin prescription can prevent complications. Digoxin is used to control atrial fibrillation but needs careful management. Clarification ensures safe and effective use.
Rationale for other options: Warfarin does not need immediate clarification as there is no indication of excessive bleeding risk. Metoprolol is unlikely to be the cause of irregular rhythm in this scenario. Atorvastatin, used for hyperlipidemia, does not affect heart rhythm. Reported dizziness can be due to various causes and is not specific to digoxin. Palpitations are common in atrial fibrillation and need broader management beyond digoxin adjustment. Irregular heart rhythm strongly points to potential issues with digoxin. Bleeding risk pertains to warfarin management, not relevant here.
Clarification of digoxin is the priority due to direct impact on heart rhythm and patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Applying heat to a sprained ankle can increase swelling and should be avoided. Ice should be used instead to reduce swelling.
Choice B rationale
Wrapping the affected ankle with an elastic bandage helps to provide support, reduce swelling, and immobilize the joint.
Choice C rationale
Dangling the affected ankle can cause further injury and increase swelling. The ankle should be elevated to reduce swelling.
Choice D rationale
Bearing full weight on a sprained ankle can exacerbate the injury. The client should avoid putting weight on the ankle until it has healed sufficiently.
Correct Answer is C
Explanation
Choice A rationale
Having clear liquids up to 3 hours before the procedure is incorrect. Clients are generally advised to be NPO (nothing by mouth) for a certain period before a bronchoscopy to prevent aspiration.
Choice B rationale
Eating as soon as the procedure is completed is incorrect. Clients need to wait until their gag reflex has returned before eating or drinking to prevent choking or aspiration.
Choice C rationale
Blood-tinged sputum after the procedure is an expected finding. Bronchoscopy can cause minor irritation and bleeding in the airways, leading to blood-tinged sputum.
Choice D rationale
Receiving an injection of radioactive material prior to the procedure is incorrect. This statement confuses bronchoscopy with other diagnostic tests such as a PET scan. Bronchoscopy involves direct visualization of the airways using a bronchoscope. .
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