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 D
Explanation
Choice A rationale
A respiratory therapist primarily focuses on breathing and respiratory issues, not on swallowing difficulties.
Choice B rationale
A physical therapist focuses on improving physical function and mobility, which is not directly related to swallowing.
Choice C rationale
An occupational therapist helps clients with activities of daily living but does not specialize in swallowing disorders.
Choice D rationale
A speech therapist is the specialist who assesses and treats dysphagia, helping clients improve their ability to swallow safely. .
Correct Answer is B
Explanation
Choice A rationale
Isolating the client in their room is not necessary for managing GERD. Isolation measures are typically used for contagious diseases, not for GERD, which is a non-infectious condition.
Choice B rationale
Encouraging the client to ambulate with a staff member helps promote gastrointestinal motility and reduce the risk of reflux. Physical activity can aid in digestion and reduce GERD symptoms.
Choice C rationale
Trazodone is an antidepressant and is not typically prescribed for managing GERD. It is not relevant to the care plan for a client with GERD.
Choice D rationale
Applying bilateral wrist restraints is not indicated for GERD management. Restraints are used for patients who pose a risk to themselves or others, not for those with GERD. .
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