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 D

Explanation

A. Montelukast is not used for immediate relief during an asthma attack; it is a maintenance medication.
B. Montelukast is used to control chronic asthma symptoms and does not replace the need for inhalers used for acute symptoms or daily management.
C. Montelukast does not provide immediate relief of an asthma attack; it is for long-term control.
D. Montelukast should be taken regularly, usually in the evening, to effectively manage and control asthma symptoms.

A. Breastfeeding is not recommended while taking this medication. B. Do not take multiple vitamins that contain vitamin A while taking this drug. C. Baseline liver function results must be obtained during therapy. D. Discontinue this medication one month before attempting to conceive.

Correct Answer is D

Explanation

A. While breastfeeding is not recommended during isotretinoin therapy, the most pressing concern for pregnancy is to discontinue the medication before conception.
B. Isotretinoin can be harmful if excessive vitamin A is taken, but the critical issue is to stop the medication before pregnancy.
C. Monitoring liver function is important during isotretinoin therapy but does not directly address the pregnancy-related risk.
D. Isotretinoin is highly teratogenic, so it is crucial to discontinue the medication at least one month before attempting to conceive to avoid potential birth defects.

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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 asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?

Correct Answer is D

Explanation

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

Correct Answer is D

Explanation

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