A client has a new prescription for Digoxin. Which of the following instructions should the nurse include?

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Question 1 of 5

A client has a new prescription for Digoxin. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: When a client is prescribed Digoxin, it is essential to monitor their heart rate before each dose. Changes such as a heart rate below 60 bpm should be reported to the healthcare provider promptly. This is crucial because Digoxin can affect heart rhythm, and monitoring the heart rate helps in identifying any potential issues early on.

Question 2 of 5

A nurse is teaching a client who has a new prescription for Furosemide. Which of the following dietary instructions should the nurse provide?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A client has a new prescription for Metoclopramide. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: The correct instruction to include when teaching a client about Metoclopramide is to report any signs of restlessness or involuntary movements. Metoclopramide can lead to extrapyramidal symptoms, such as restlessness or involuntary movements. It is essential for clients to notify their healthcare provider if they experience these symptoms to receive appropriate management.

Question 4 of 5

A patient is mowing his lawn on a hot Saturday afternoon. He begins to notice chest pain. What should his first action be?

Correct Answer: B

Rationale: The patient's first action should be to stop mowing and sit or lie down. Chest pain can be a symptom of a heart attack, and it is important for the patient to immediately rest and avoid physical strain. Continuing to mow the lawn could worsen the condition or lead to further complications. Sitting or lying down will help reduce the heart's workload and minimize the exertion on the body. If the chest pain continues or worsens, seeking medical help should be the next course of action.

Question 5 of 5

A patient about to receive a morning dose of digoxin has an apical pulse of 53 beats/min. What will the nurse do next?

Correct Answer: D

Rationale: A low apical pulse rate of 53 beats/min indicates bradycardia, which is a side effect of digoxin. Before administering digoxin, the nurse should always check the patient's pulse rate. If the apical pulse is below the facility's specified parameters (typically below 60 beats/min), the nurse should withhold the dose and notify the prescriber immediately. Bradycardia can be an indication of digoxin toxicity, which can be potentially life-threatening, so it is crucial to follow the protocol and seek further guidance before administering the medication.

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