What should the nurse include in a client's discharge teaching when going home with a prescription for digoxin 0.125 mg by mouth once daily?

"Take the digoxin at bedtime."

"Eat a diet high in bran, fiber, and calcium."

"You must be able to check your pulse."

"Don't take digoxin if your heart rate exceeds 90 beats per minute."

Answer and Explanation

The Correct Answer is C

a) Taking digoxin at bedtime is not a critical instruction. The important aspect is to take it consistently at the same time each day.

b) A diet high in bran, fiber, and calcium is not specifically related to digoxin administration. Digoxin has specific dietary considerations related to potassium levels.

c) Checking the pulse is crucial for a client taking digoxin, as it helps monitor for potential toxicity. Digoxin can cause bradycardia, and the pulse rate is an essential parameter to assess before administering each dose.

d) While monitoring the heart rate is important, setting a specific threshold (e.g., not taking digoxin if the heart rate exceeds 90 beats per minute) is not a standard recommendation. It's generally more nuanced and individualized.

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Correct Answer is A

Explanation

A) Sildenafil and finasteride can both lower blood pressure, and concomitant use may increase the risk of hypotension.

B) Nitroglycerin use is a contraindication for sildenafil due to the risk of severe hypotension.

C) Benign prostatic hypertrophy alone may not be a contraindication for sildenafil use.

D) Mild hypertension alone may not be a contraindication for sildenafil, but it should be considered in the overall assessment of cardiovascular health.

A. It increases the risk of bleeding. B. It enhances the effects of all drugs. C. It counteracts the effects of central nervous system (CNS) depressants. D. It accelerates the metabolism of some drugs.

Correct Answer is A

Explanation

a) St. John's Wort is known to increase the risk of bleeding, particularly when used in conjunction with anticoagulant medications. This effect is of concern and may require adjustments in the treatment plan.

b) While St. John's Wort can interact with various drugs, increasing the risk of bleeding is a more immediate concern.

c) St. John's Wort does not counteract the effects of CNS depressants; it may actually enhance the effects of these drugs.

d) St. John's Wort is known to induce the metabolism of some drugs, potentially reducing their effectiveness, but the immediate concern is the risk of bleeding.

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What should the nurse include in a client's discharge teaching when going home with a prescription for digoxin 0.125 mg by mouth once daily?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has erectile dysfunction asks a nurse whether sildenafil would be a suitable medication. Which aspect of this client's history would be of most concern?

Correct Answer is A

Explanation

The nurse is obtaining a history from a client who discloses daily use of St. John's Wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?

Correct Answer is A

Explanation

The nurse will include which information when teaching a client about hydroxyzine?

Which of these situations would cause the nurse to hold a dose of morphine?

A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching?

In which situation would the nurse hold digoxin?

A client on a morphine PCA pump is noted to be drowsy and lethargic with pinpoint pupils and the following vitals: pulse 84 beats/minute, respiratory rate 10 breaths/minute, blood pressure 90/50 mm Hg. What is the nurse's best action?

Insulin glargine is prescribed for a hospitalized client who has diabetes. When will the nurse expect to administer this drug?

The nurse is providing client education for a postmenopausal client; which risks associated with estrogen/progestin therapy should the nurse discuss with the client? (Select all that apply.)