Which action is associated with the use of lidocaine in the management of digoxin toxicity?
Increase digoxin dose
Initiate anticoagulation therapy
Administer potassium supplements
Decrease digoxin dose
The Correct Answer is D
A. Increasing the digoxin dose is inappropriate in digoxin toxicity, as it would worsen the condition and increase the risk of life-threatening arrhythmias.
B. Anticoagulation therapy is not directly related to the management of digoxin toxicity and does not address the primary problem.
C. Administering potassium supplements may be necessary if hypokalemia is present, but it is not the primary action associated with using lidocaine.
D. Decreasing the digoxin dose is an important step in managing digoxin toxicity, particularly when arrhythmias occur. Lidocaine is used as an antiarrhythmic agent to treat ventricular arrhythmias caused by digoxin toxicity, and reducing digoxin helps prevent further toxicity while managing cardiac effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Assessing for signs of respiratory distress is important for clients with cardiac or pulmonary conditions, but it is not the primary assessment related to furosemide use.
B. Monitoring for skin rash development may be necessary if an allergic reaction occurs, but it is not a key routine assessment for this medication.
C. Checking blood glucose levels daily is more relevant for clients taking corticosteroids or antidiabetic medications, not loop diuretics like furosemide.
D. Monitoring electrolyte levels regularly is essential because furosemide causes loss of potassium, sodium, calcium, and magnesium, which can lead to complications such as hypokalemia, muscle weakness, or cardiac dysrhythmias.
Correct Answer is C
Explanation
A. Clients should never double or increase their dose after missing one, as doing so can result in dangerously low blood pressure, dizziness, or fainting. The correct action is to take the next dose at the regular scheduled time.
B. Losartan can be taken with or without food, and a high-fat meal does not enhance absorption or therapeutic effect. Advising this could mislead the client about proper medication administration.
C. Swelling of the face, lips, throat, or tongue (angioedema) is a rare but serious adverse reaction associated with Losartan and other angiotensin receptor blockers (ARBs). It can cause airway obstruction and requires immediate medical evaluation. Educating the client about this sign is crucial for early recognition and prompt intervention.
D. Abruptly stopping Losartan can lead to rebound hypertension, which increases the risk of heart attack or stroke. Clients should be instructed to contact their healthcare provider before making any medication changes.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
