Order: Metoprolol 2.5mg IV push

On hand: 1mg/mL vials

How many millilitres will the nurse draw up for this dose?

Choice A reason: This statement is false. The client does not need to report dry cough and nose bleed with gemfibrozil, as these are not common or serious side effects of this drug. Gemfibrozil is a lipid-lowering medication that reduces the levels of triglycerides and increases the levels of high-density lipoprotein (HDL) cholesterol in the blood. It does not affect the respiratory system or the blood clotting.

Choice B reason: This statement is true. The client should report abdominal pain and jaundice with gemfibrozil, as these are signs of liver damage, which is a rare but serious complication of this drug. Gemfibrozil is a lipid-lowering medication that reduces the levels of triglycerides and increases the levels of high-density lipoprotein (HDL) cholesterol in the blood. However, it can also cause hepatotoxicity, which is a damage to the liver cells. Hepatotoxicity can cause abdominal pain, jaundice, dark urine, or clay-colored stools. The client should stop the medication and seek medical attention immediately.

Choice C reason: This statement is false. The client does not need to report constipation and dry skin with gemfibrozil, as these are not common or serious side effects of this drug. Gemfibrozil is a lipid-lowering medication that reduces the levels of triglycerides and increases the levels of high-density lipoprotein (HDL) cholesterol in the blood. It does not affect the bowel function or the skin hydration.

Choice D reason: This statement is false. The client does not need to report nausea and flatulence with gemfibrozil, as these are mild and temporary side effects of this drug. Gemfibrozil is a lipid-lowering medication that reduces the levels of triglycerides and increases the levels of high-density lipoprotein (HDL) cholesterol in the blood. It can cause some gastrointestinal discomfort, such as nausea, flatulence, or diarrhea, but these usually subside with time or with food. The client can take the medication with meals or snacks to reduce the nausea and flatulence.

Choice A reason: This statement is false. The nurse should not delay the administration of digoxin based on the heart rate alone, unless it is below 60 beats per minute. The nurse should also consider the serum potassium level, which is low in this case and increases the risk of digoxin toxicity.

Choice B reason: This statement is true. The nurse should hold the digoxin and call the MD, as the client has a low potassium level, which can potentiate the effects of digoxin and cause arrhythmias, nausea, vomiting, or visual disturbances. The MD may order a serum digoxin level, potassium supplementation, or a dose adjustment.

Choice C reason: This statement is false. The nurse does not need to call the prescriber and ask for a chest x-ray, as this is not relevant to the digoxin order. A chest x-ray may be indicated to assess the severity of heart failure, but it does not affect the decision to administer digoxin.

Choice D reason: This statement is false. The nurse should not give the digoxin as ordered, as the client has a low potassium level, which can increase the risk of digoxin toxicity. The nurse should hold the digoxin and call the MD for further instructions..