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 C

Explanation

A) Taking levothyroxine at bedtime may affect sleep, but this statement suggests an incorrect understanding of the dosing schedule.

B) Taking levothyroxine with a meal may interfere with its absorption. The medication is generally recommended to be taken on an empty stomach.

C) Taking levothyroxine before breakfast on an empty stomach is the standard recommendation for optimal absorption.

D) Stopping levothyroxine based on TSH levels should be done under the guidance of a healthcare provider, and it's not a routine approach to medication administration.

A. A Increase the frequency of medication dosing. B. B Order a dose that is higher than an adult dose. C. Discontinue the drug after one or two treatments. D. D Order a dose that is lower than an adult dose.

Correct Answer is D

Explanation

a) Increasing the frequency of medication dosing may lead to higher overall exposure and is not necessarily related to hepatic metabolism.

b) Ordering a dose that is higher than an adult dose could result in excessive drug levels, especially in a newborn with immature hepatic function.

c) Discontinuing the drug after one or two treatments may not be necessary if the dose is appropriately adjusted based on hepatic metabolism.

d) Ordering a lower dose is appropriate because hepatic metabolism in newborns is often immature, and lower doses are required to avoid toxicity.

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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

Which statement by the client shows a correct understanding of how they should take their levothyroxine?

Correct Answer is C

Explanation

A prescriber has ordered medication for a newborn that is eliminated primarily by hepatic metabolism. What would the nurse expect the prescriber to order?

Correct Answer is D

Explanation

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