In which situation would the nurse hold digoxin?
When the lab reports a digoxin level 1.2 ng/mL
When the client complains of seeing yellow-green halos
When the client is edematous
When the client is pacing and very thirsty
The Correct Answer is B
a) A digoxin level of 1.2 ng/mL is within the therapeutic range, and holding the medication based solely on the level may not be necessary.
b) Seeing yellow-green halos is a symptom of digoxin toxicity, and holding the medication is appropriate to prevent further adverse effects.
c) Edema alone may not be a contraindication for administering digoxin; the nurse would assess other factors such as heart rate and rhythm.
d) Pacing and thirst are not specific signs of digoxin toxicity, and the nurse would need to assess other symptoms and factors before deciding to hold the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Antibiotics can interact with warfarin, potentially affecting the INR, so dose adjustments may be necessary.
B) Pink urine is not an expected side effect of warfarin; this statement is inaccurate.
C) Eating spinach to increase iron count is not a relevant action related to warfarin or INR levels.
D) Warfarin interacts with many substances, including herbal remedies and aspirin. Notifying the provider before taking new medications or supplements is crucial for proper management.
Correct Answer is B
Explanation
A) Allopurinol inhibits the synthesis of uric acid, preventing its formation.
B) Colchicine is typically used for gout flares and reduces inflammation but is not usually taken concurrently with probenecid and allopurinol. NSAIDs or corticosteroids are often used for pain control during acute attacks.
C) Colchicine is known for its anti-inflammatory properties but does not prevent uric acid synthesis or facilitate its elimination.
D) Probenecid increases the excretion of uric acid in the urine.
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