The nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?

Check the pulse rate for 30 seconds and multiply the result by 2

Increase intake of sodium

Contact the health care provider for heart rate less than 60/min

Take the medication with food if you develop nausea

Answer and Explanation

The Correct Answer is C

A. Checking the pulse rate for 30 seconds and multiplying by 2 may not be accurate enough for a medication like digoxin, which requires precise monitoring.
B. Increasing sodium intake is not recommended for heart failure patients as it can worsen fluid retention and exacerbate symptoms.
C. Digoxin can cause bradycardia; therefore, it is crucial for clients to monitor their heart rate and contact their healthcare provider if it falls below 60/min to avoid adverse effects.
D. Taking digoxin with food can help with nausea but is not as critical as monitoring heart rate for potential toxicity.

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Correct Answer is B

Explanation

A. Trouble sleeping the previous night may not be directly related to the decision to withhold antihypertensive medication.
B. Dizziness when ambulating could indicate hypotension, which can be exacerbated by antihypertensive medication. The nurse should collect further data to ensure the patient's blood pressure is safe for medication administration.
C. Urine output is important to monitor but does not directly indicate a need to withhold antihypertensive medication unless associated with other symptoms.
D. Eating 60% of breakfast does not indicate a need to collect further data before administering antihypertensive medication.

A. "A comprehensive list of medications is provided for the client at the time of discharge." B. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider." C. "A nurse should write a verbal order in the medical record for medications the client was taking at home." D. "Complete the reconciliation process one time when the client is first admitted to the hospital."

Correct Answer is A

Explanation

A. Medication reconciliation involves compiling a comprehensive and accurate list of the patient's current medications, which should be provided to the client at discharge to ensure continuity of care.
B. The list obtained from the client should include all medications the client is taking, including over-the-counter medications and supplements, not just those prescribed by the provider.
C. Verbal orders should be transcribed immediately into the medical record and should not be part of the medication reconciliation process.
D. Medication reconciliation should be an ongoing process throughout the patient's hospital stay to ensure that the most accurate list of medications is maintained.

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The nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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