The nurse is preparing to administer the client's daily digoxin with furosemide. The nurse should closely monitor laboratory values for which of the following?

Hypercalcemia

Hypokalemia

Hypocalcemia

Hyponatremia

Answer and Explanation

The Correct Answer is B

A. Hypercalcemia is not a typical side effect associated with the combination of digoxin and furosemide.
B. Hypokalemia is a significant concern when administering digoxin with furosemide because furosemide is a loop diuretic that can lead to potassium loss. Low potassium levels increase the risk of digoxin toxicity.
C. Hypocalcemia is not a typical concern with these medications.
D. Hyponatremia can occur with furosemide, but it is not the primary concern when monitoring the effects of digoxin.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

A. Sublingual nitroglycerin tablets should be placed under the tongue and allowed to dissolve to ensure proper absorption.
B. The medication should be kept in its original container to protect it from heat and light, which can degrade its effectiveness.
C. Nitroglycerin should be replaced regularly when it is past its expiration date to ensure its efficacy.
D. Taking nitroglycerin while lying or sitting can help prevent dizziness or fainting, and patients should change positions slowly to avoid orthostatic hypotension.
E. A headache is a common side effect of nitroglycerin, and it should not necessarily lead to discontinuation of the medication without consulting a healthcare provider.

A. Swallow 1 nitroglycerin tablet with a full glass of water and repeat in 5 minutes. B. Apply 1 nitroglycerin transdermal patch to your chest, ensuring to remove any previous patches. C. Place 3 nitroglycerin tablets under the tongue and notify physician if pain is not relieved. D. Take 1 tablet of nitroglycerin and call 911 or go to emergency department if chest pain is not relieved in 5 minutes, and repeat medication for a total of 3 tablets at 5 minute intervals.

Correct Answer is D

Explanation

A. Nitroglycerin should be placed sublingually and not swallowed.
B. This instruction pertains to transdermal nitroglycerin, not sublingual tablets.
C. The recommended use for sublingual nitroglycerin involves one tablet every 5 minutes, up to a total of 3 tablets if pain is not relieved, not placing multiple tablets at once.
D. If chest pain is not relieved by one sublingual nitroglycerin tablet, the patient should take up to a total of 3 tablets at 5-minute intervals and seek emergency help if pain persists.

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The nurse is preparing to administer the client's daily digoxin with furosemide. The nurse should closely monitor laboratory values for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following would the nurse correctly include in client teaching about nitroglycerin (Nitrostat)? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?

Correct Answer is D

Explanation

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