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 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.

A. Dosage in safe range B. Peripheral IV in large vein C. No known allergies D. Used for prophylaxis E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L) F. Potassium 4.4 mEq/L (4.4 mmol/L)

Correct Answer is ["A","B","C","E"]

Explanation

A. Dosage in safe range: Ensuring that the dosage is within a safe range is crucial for preventing potential toxicity or adverse reactions.
B. Peripheral IV in large vein: Administering vancomycin through a peripheral IV in a large vein reduces the risk of phlebitis and ensures proper medication delivery.
C. No known allergies: Confirming that the client has no known allergies, especially to vancomycin or related antibiotics, is essential to avoid an allergic reaction.
D. Used for prophylaxis: While using vancomycin for prophylaxis is appropriate, this does not directly relate to safety in administration, which is more concerned with avoiding adverse reactions.
E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L): A normal BUN level suggests that the kidneys are functioning properly, which is important because vancomycin is renally excreted, and impaired renal function could increase the risk of toxicity.
F. Potassium 4.4 mEq/L (4.4 mmol/L): Although within the normal range, this value does not directly impact the safety of vancomycin administration, unlike factors such as renal function or potential allergic reactions.

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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?

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Naxlex Comprehensive Predictor Exams

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

Exhibits The nurse is preparing the client's plan of care. Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.

Correct Answer is ["A","B","C","E"]

Explanation

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