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
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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Related Questions
Correct Answer is C
Explanation
A. To find the number of tablets to administer: 0.25 mg (prescribed dose) ÷ 0.125 mg/tablet (available dose) = 2 tablets.
B. To find the number of tablets to administer: 0.25 mg (prescribed dose) ÷ 0.125 mg/tablet (available dose) = 2 tablets.
C. To find the number of tablets to administer: 0.25 mg (prescribed dose) ÷ 0.125 mg/tablet (available dose) = 2 tablets.
D. To find the number of tablets to administer: 0.25 mg (prescribed dose) ÷ 0.125 mg/tablet (available dose) = 2 tablets.
Correct Answer is D
Explanation
A. Family members are not reliable sources for verifying patient identity.
B. Checking the client's name on the MAR is a part of the process but alone is not sufficient for identification.
C. Room numbers can change or be occupied by different patients; they do not verify patient identity.
D. Asking the client's full name and date of birth ensures direct confirmation from the patient, which is the most reliable method of identification.
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