A nurse is preparing to administer medications to a 68-year-old female client admitted to the cardiology unit.

Exhibits

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

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due to the client's

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Choice A rationale

Clients with an ileostomy will not have normal bowel movements, as the stool is typically liquid or pasty. This statement reflects a lack of understanding of the ileostomy and indicates denial.

Choice B rationale

This statement reflects a sense of loss and difficulty adjusting to the changes in body image and sexual function, indicating poor acceptance of the ileostomy.

Choice C rationale

Having a partner empty the bag to avoid looking at it suggests avoidance and denial rather than acceptance of the ileostomy.

Choice D rationale

Attending a support group to handle difficulties reflects a proactive approach to coping with the changes brought by the ileostomy, indicating acceptance and adjustment.

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.