ATI LPN Pharmacology safety | Nurselytic

Questions 36

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ATI LPN Pharmacology safety Questions

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Question 1 of 5

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily for heart failure. The client's current vital signs are: BP 144/96, heart rate 54/min, respirations 18/min, and temperature 37° C (98.6° F). Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Withhold the digoxin dose for decreased heart rate. Digoxin is a cardiac glycoside that can cause bradycardia as a side effect, especially if taken at inappropriate doses. The client's heart rate is already low at 54/min, so administering digoxin could further decrease the heart rate and lead to serious complications like heart block or cardiac arrest. Withholding the digoxin dose in this situation is appropriate to ensure the client's safety.


Choice A is incorrect because elevated BP is not a contraindication for digoxin administration.
Choice C is incorrect because administering the full dose of digoxin when the heart rate is already low can be harmful.
Choice D is incorrect because administering a lower dose of digoxin may still lead to further bradycardia.

Question 2 of 5

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