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 ["1000"]
Explanation
Step 1: Calculate the total caloric reduction needed per week to lose 0.9 kg (2 lb). 2 lb × 3,500 calories/lb = 7,000 calories.
Step 2: Divide the total weekly caloric reduction by the number of days in a week. 7,000 calories ÷ 7 days = 1,000 calories/day.
Final answer: 1,000.
Correct Answer is B
Explanation
Choice A rationale
Exercise can increase pressure in the middle ear and should be avoided until cleared by a healthcare provider. Engaging in physical activities too soon can impair the healing process after tympanoplasty.
Choice B rationale
Closing the mouth while sneezing reduces the risk of pressure changes in the middle ear, which could disrupt the surgical repair. The client should also avoid actions that can increase ear pressure, such as blowing their nose forcefully.
Choice C rationale
Shampooing hair can introduce water into the ear, potentially causing infection or damage to the surgical site. The client should follow the healthcare provider’s instructions regarding when it is safe to resume washing their hair.
Choice D rationale
Drinking through a straw creates negative pressure that can affect the middle ear and the healing process. The client should avoid using straws and other activities that create pressure changes in the ear.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.