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 A
Explanation
Choice A rationale
Ensuring the weights hang freely prevents interference with the traction, which helps maintain alignment and reduce pain.
Choice B rationale
Maintaining 6.8 kg (15 lb) of weight is not specific to skin traction and could be inappropriate, as the weight should be based on the physician's orders.
Choice C rationale
Loosening the ropes of the pulleys when repositioning the client can interfere with the effectiveness of the traction.
Choice D rationale
Inspecting the client's skin every 12 hours for signs of breakdown is not frequent enough; skin should be checked more often to prevent complications.
Correct Answer is D
Explanation
Choice A rationale
Peripheral edema is swelling in the tissues due to fluid accumulation, often related to heart or kidney issues, not typically a sign of anaphylaxis.
Choice B rationale
Pallor refers to paleness and is usually a sign of anemia or shock, not specifically linked to anaphylaxis.
Choice C rationale
Hypertension, or high blood pressure, is not a common manifestation of anaphylaxis. Anaphylaxis typically causes hypotension, or low blood pressure.
Choice D rationale
Pruritus, or severe itching, is a common clinical manifestation of anaphylaxis due to the release of histamines in the body.
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