Based on a client's serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?

Give digoxin by another route to slow absorption.

Begin cardioversion to stabilize heart rhythm.

Administer potassium to stabilize the heart rate.

Check acid-base and electrolyte values.

Answer and Explanation

The Correct Answer is D

A. Administering digoxin by another route is not appropriate for managing toxicity.
B. Cardioversion may be considered if there are significant arrhythmias, but the immediate action is to address the toxicity.
C. Potassium administration may be needed in the case of digoxin toxicity, especially if there is hypokalemia, but the first step is to check for electrolyte imbalances.
D. Checking acid-base and electrolyte values is crucial to manage digoxin toxicity effectively and guide further treatment.

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Correct Answer is B

Explanation

A. pH levels are not directly affected by calcium acetate and do not indicate the medication's effectiveness.
B. Calcium acetate is used to lower phosphate levels in patients with CKD, so a decrease in phosphate indicates that the medication is having the desired effect.
C. Potassium levels are not directly impacted by calcium acetate and do not reflect the medication’s effectiveness in managing phosphate levels.
D. Calcium levels are not the primary target of calcium acetate therapy; the focus is on reducing phosphate levels in CKD management.

A. Administer an oral analgesic and evaluate its effectiveness before applying the new patch. B. Apply the new patch in a different location after removing the original patch. C. Place the patch on the client's shoulder and leave both patches in place for 12 hours. D. Remove the patch and consult with the healthcare provider about the client's pain resolution.

Correct Answer is B

Explanation

A. Administering an oral analgesic is not necessary if the client is not currently experiencing pain and it does not address the need to replace the transdermal patch as scheduled.
B. Fentanyl transdermal patches should be applied to a different location after the original patch is removed. This ensures consistent pain management while preventing skin irritation or overdose.
C. Leaving both patches in place can lead to overdose due to excessive fentanyl absorption. D. While consulting the healthcare provider may be warranted if the client no longer needs opioid analgesia, it is not the immediate action in this scenario.

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Based on a client's serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

Correct Answer is B

Explanation

When preparing to apply a scheduled fentanyl transdermal patch, the nurse notes that the previously applied patch is intact on the client's upper back and the client denies pain. Which action should the nurse take?

Correct Answer is B

Explanation

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