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 B
Explanation
a) The symptoms described are indicative of hypoglycemia, and addressing the client's emotional state or offering to listen does not address the immediate medical issue.
b) Checking the blood glucose level is crucial to determine if the symptoms are due to hypoglycemia, and providing carbohydrates can help raise the blood sugar level promptly.
c) Assuming a panic attack without assessing the potential hypoglycemic state could delay appropriate intervention.
d) The symptoms described are not consistent with an allergic reaction, so giving diphenhydramine is not the appropriate response.
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.
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