A health care provider (HCP) writes a prescription for digoxin (Lanoxin), 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is important to:- Nurselytic

Question 1 of 5

A health care provider (HCP) writes a prescription for digoxin (Lanoxin), 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is important to:

A. Count the radial and carotid pulses every morning. B. Check the blood pressure every morning and evening. C. Stop taking the medication if the pulse is higher than 100 beats per minute. D. Withhold the medication and call the HCP if the pulse is less than 60 beats per minute.

Correct Answer: D

Rationale: When taking digoxin, monitoring the pulse rate is essential due to its potential effects on heart rate. Digoxin can lead to bradycardia, where the pulse rate drops significantly. Withholding the medication and promptly contacting the healthcare provider if the pulse falls below 60 beats per minute is crucial to prevent severe complications and ensure appropriate management.

Question 2 of 5

A health care provider (HCP) writes a prescription for digoxin (Lanoxin), 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is important to:

A. Count the radial and carotid pulses every morning. B. Check the blood pressure every morning and evening. C. Stop taking the medication if the pulse is higher than 100 beats per minute. D. Withhold the medication and call the HCP if the pulse is less than 60 beats per minute.

Correct Answer: D

Rationale: When taking digoxin, monitoring the pulse rate is essential due to its potential effects on heart rate. Digoxin can lead to bradycardia, where the pulse rate drops significantly. Withholding the medication and promptly contacting the healthcare provider if the pulse falls below 60 beats per minute is crucial to prevent severe complications and ensure appropriate management.

Question 3 of 5

The healthcare provider prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus who takes insulin. What is the appropriate intervention for the nurse?

A. Administer the medication within 60 minutes before the morning and evening meal. B. Withhold the medication and question the prescription with the healthcare provider. C. Monitor the client for gastrointestinal side effects after administration of the medication. D. Withdraw the insulin from the Penlet into an insulin syringe to prepare for administration.

Correct Answer: B

Rationale: Exenatide (Byetta) is specifically indicated for the treatment of type 2 diabetes mellitus and is not recommended for clients with type 1 diabetes mellitus who are taking insulin. Therefore, the appropriate intervention for the nurse is to withhold the medication and question the prescription with the healthcare provider to ensure the safety and appropriateness of the treatment plan for the client.

Question 4 of 5

Bethanechol chloride (Urecholine) is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication?

A. Gastric atony B. Urinary strictures C. Neurogenic atony D. Gastroesophageal reflux

Correct Answer: B

Rationale: Bethanechol chloride (Urecholine) should not be administered to clients with urinary strictures as it can contract the bladder and increase pressure within the urinary tract. In individuals with urinary strictures, this elevated pressure may lead to bladder rupture. Therefore, caution is advised when considering the use of Bethanechol chloride in clients with urinary strictures to prevent potential complications.

Question 5 of 5

The client with non-Hodgkin's lymphoma is receiving daunorubicin (DaunoXome). Which of the following would indicate to the nurse that the client is experiencing a toxic effect related to the medication?

A. Fever B. Diarrhea C. Complaints of nausea and vomiting D. Crackles on auscultation of the lungs

Correct Answer: D

Rationale: Crackles on auscultation of the lungs would indicate a toxic effect related to daunorubicin, known to cause cardiotoxicity. Cardiotoxicity can manifest as heart failure, abnormal ECG findings, or cardiomyopathy. It is crucial for the nurse to monitor for signs of cardiotoxicity to ensure timely intervention and prevent further complications.

Nurselytic

HESI RN

HESI RN

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