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 A

Explanation

A. Spironolactone is a potassium-sparing diuretic; therefore, it is important to limit potassium intake to prevent hyperkalemia.
B. Skin protection is not a specific concern related to spironolactone use.
C. Spironolactone does not commonly cause excessive bruising; monitoring for signs of hyperkalemia is more relevant.
D. Using a salt substitute may increase potassium intake, which is contraindicated with spironolactone.

A. Administer the medication with a glass of milk. B. Begin tapering the drug dose per protocol. C. Notify the healthcare provider of the finding. D. Teach the client about foods high in calcium.

Correct Answer is C

Explanation

A. Administering the medication with milk will not address the critical issue of the severely low calcium level.
B. Tapering the medication dose is not immediately relevant to the calcium level issue and should be based on the overall treatment plan and the healthcare provider’s guidance.
C. A serum calcium level of 5.5 mg/dL is significantly below the normal range and requires prompt medical evaluation. Notifying the healthcare provider is crucial for addressing the potential causes and necessary interventions.
D. Teaching about calcium-rich foods is important for long-term management but does not address the immediate concern of the critically low calcium level that needs urgent attention.

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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 heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in the client's plan of care?

Correct Answer is A

Explanation

Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take?

Correct Answer is C

Explanation

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

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