The nurse is preparing to administer digoxin (Lanoxin) to a client experiencing atrial fibrillation. Which of the following electrolyte imbalances would the nurse assess to reduce the incidence of toxicity with digoxin (Lanoxin)?
hypocalcemia
hypokalemia
hyperkalemia
hypernatremia
The Correct Answer is B
A. Hypocalcemia is not directly linked to digoxin toxicity; rather, it is more associated with calcium channel blockers.
B. Hypokalemia increases the risk of digoxin toxicity, as low potassium levels can enhance the effects of digoxin on the heart.
C. Hyperkalemia is not directly associated with toxicity; however, it can cause complications in patients taking digoxin.
D. Hypernatremia does not have a direct impact on digoxin toxicity; monitoring potassium levels is more critical.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Hypokalemia is not typically associated with ACE inhibitors like quinapril; rather, hyperkalemia (increased potassium levels) is a concern.
B. First dose phenomenon refers to significant hypotension that can occur after the first dose of an ACE inhibitor and should be monitored.
C. Hepatotoxicity is not a common side effect of ACE inhibitors.
D. A dry non-productive cough is a common side effect of ACE inhibitors, including quinapril.
E. Orthostatic hypotension can occur with ACE inhibitors, especially after the initial dose, making patient education important.
Correct Answer is B
Explanation
A. Hypocalcemia is not directly linked to digoxin toxicity; rather, it is more associated with calcium channel blockers.
B. Hypokalemia increases the risk of digoxin toxicity, as low potassium levels can enhance the effects of digoxin on the heart.
C. Hyperkalemia is not directly associated with toxicity; however, it can cause complications in patients taking digoxin.
D. Hypernatremia does not have a direct impact on digoxin toxicity; monitoring potassium levels is more critical.
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