Adults and children older than 10yrs: 8 – 12 mcg/kg in three divided doses. C)Administer acetaminophen and Maalox. A nurse is preparing to administer furosemide to a toddler was heart defects. Thrombocytopenia and weight gain B. Ask the client to leave the therapy session B. The nurse should expect a child who has iron deficiency anemia to have an Hgb level below the expected reference range of 10 to 15. Which patient is at highest risk for developing heart failure (HF)?, The nurse is caring for a patient with pulmonary edema. The client has a prescription for additional furosemide in the amount of 40 mg intravenous push. Which would be most important for the nurse to monitor?, The 96-year-old client is receiving digoxin and furosemide. Intravenous (IV) Loading and Maintenance Dose. A) Macrolides are broad-spectrum antibiotics. Digoxin is used to treat paroxysmal atrial fibrillation. By eliminating excess water, blood volume and blood pressure, as well as preload, are decreased. Use a straight razor when shaving. Elevated blood pressure D. Persistent pain. Right side-lying 2. Diuretics are often used in combination with other antihypertensive agents to reduce a patient’s blood pressure. A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. The adolescent asks the nurse why two medicines are needed. infant is dyspneic. If the nurse is correct, which action is likely to be taken? The patient's digoxin dosage will be reduced. Monitor ECG during IV administration and 6 hr after each dose. After receiving a report, the nurse is making out assignments. The nurse's priority action will be to. Weight gain A patient in the intensive care unit with acute decompensated heart failure (ADHF) complains of severe dyspnea and is anxious, tachypneic, and tachycardic. Fatigue and muscle twitching Notify the health care provider Before administering each dose of digoxin, take the apical pulse rate for 60 seconds. The nurse is caring for a group of very young patients receiving a variety of medications. Semi-Fowler 4 D. Ask the group if they would like to share their feelings about the monopolization, The nurse is caring for a client who is recovering from surgery. To enhance the therapeutic effect of the drug, the nurse will instruct the patient to: take the medication with meals. If the apical rate is below 60 beats per minute, withhold the drug and notify the provider. Maintaining the child's position. Jun 26, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a group of patients. Which action will the nurse take?, An older Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who has been taking esomeprazole for several months. Contact the pediatric cardiologist for further orders. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient receiving digoxin for ventricular arrhythmia. Administer digoxin immune Fab as prescribed. A. Intervention by the nurse is required if the results include a a. Monitor the heart rate closely. Digitalis toxicity is a possibility. 5 mg/2 mL. Digoxin increases the force of the contraction and slows the conduction, thereby increasing renal function. 0 g/dL is below the expected reference range. The nurse is providing patient teaching to a patient who has been prescribed digoxin. d. What is the appropriate action to take? Omit the dose and contact the health care provider. poor personal hygiene. 4 g/dL. In preparation, laboratory results are reviewed with the following findings: sodium 139 mEq/L, potassium 5. Study with Quizlet and memorize flashcards containing terms like A client with heart failure is receiving furosemide and digoxin at 0900. Administer verapamil (Verelan), Contact the provider to increase the dose of digoxin (Lanoxin The therapeutic range of digoxin is___ to ____ng/mL (Enter numbers only). Digoxin decreases the mortality associated with heart failure. Which of the following statements by the patient indicates the need for further teaching?, The nurse reviews laboratory studies of a patient receiving digoxin (lanoxin). Quinidine is an antiarrhythmic agent that when taken with digoxin increases both the therapeutic and toxic effects of digoxin. 3. 4 to 3. Which action by the nurse is necessary to prevent adverse effects? Check the patient's potassium levels in the lab reports. Study with Quizlet and memorize flashcards containing terms like A group of nursing students are reviewing cardiotonic drugs. Staining of developing teeth 4. discontinue admin of IV fluids d. The nurse will monitor the patient's laboratory work for which potential effect? A. " Indications of superinfection Peak and trough medication levels Baseline BUN and creatinine History of allergy to aminoglycoside antibiotics, A nurse is caring for a client and realizes after administering the 0900 medications that she gave digoxin 0. What information should be reinforced by the nurse to the client about this medication? Select all that apply 1. Central nervous system toxicity, The nurse is assessing the vaccination profile for a diphtheria, tetanus, and pertussis a. Rationale: Digoxin is the drug most often used to treat heart failure. Palliative pulmonary artery banding should help the infant grow. Sodium level 2. Which of the following is the best procedure for administering digoxin via intravenous injection?, A patient is receiving potassium chloride 20 mEq in 250 mL of normal saline to infuse In caring for adults who are receiving cardiac glycosides, the nurse should report to the health care provider when the client's heart rate exceeds 100 beats per minute. 5 to 2 ng/mL. Palliative pulmonary artery banding should help the infant grow enough so that the large VSD can be repaired. Although the estimated incidence of heart A nurse is caring for a 66-year-old female client who is receiving digoxin. As renal function improves, diuresis occurs and the client may experience hypokalemia and hypomagnesemia. Study with Quizlet and memorize flashcards containing terms like a nurse is caring for an infant who's receiving IV fluids for the tx of Tetralogy of Fallot and begins to have a hypercyanotic spell. Medication name B. 6 F. The patient will be given digoxin immune fab. The nurse should perform which assessment(s) for safe administration of the digoxin 0. give PRN IV diazepam (Valium) 2. 125 mg tab. " "Toxicity occurs because the drug can accumulate in the system. Check the blood levels of digoxin. a. 7 mEq/L, The nurse is preparing to administer a daily dose of digoxin [Lanoxin]. The nurse would hold the dose of digoxin and notify the physician if the infant's apical pulse rate was: 140 beats per minute. A client who is receiving gentamicin for treatment of a wound infection B. The nurse's first action should be to: Hold the child in knee-chest position to decrease venous blood return. 6° F). ) Proteinuria C. Frequency of administration, A nurse is performing a Romberg Mar 23, 2024 · A nurse is monitoring the digoxin level for a client who has been taking a daily dose of digoxin for 1 month. Consume foods high in potassium to maintain adequate serum potassium levels. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a group of patients. Keep yearly blood test appointments. The nurse is caring for a child receiving digoxin (Lanoxin) for the diagnosis of heart failure. 1 mg/mL pediatric injection (100 mcg/mL). Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like Which drug will be administered to a patient being admitted with severe digoxin intoxication?, The nurse is caring for a 3-year-old girl who has a congenital heart anomaly. See full list on nursestudy. The nurse has administered a bolus of lidocaine. admin a dose of meperidine IV c. Wear medial alert identification. Tendon rupture 2. Most infants will need surgery for a large, symptomatic VSD. " Which of the following components of the prescription should the nurse verify with the provider? A. Which finding is most concerning? and more. A client takes digoxin and furosemide (Lasix) for peripheral edema resulting from heart failure. Which concept guides the nurse's care of these patients? A) Drugs given intravenously (IV) leave the body more quickly in infants than in adults. Which position is most beneficial? 1. A nurse is reinforcing teaching with the family of an adolescent client who was recently diagnosed with celiac disease. Serum potassium level Children receiving diuretics should have serum potassium levels obtained because diuretics tend to deplete the body of potassium. [] In view of its narrow therapeutic index, limited published data on efficacy in children, and the widespread availability of newer drugs like angiotensin-converting enzyme (ACE) inhibitors and beta blockers, many clinicians have started questioning the Jun 26, 2024 · A triage nurse in the emergency department suspects that a 78-year-old patient is experiencing severe digoxin toxicity with significant cardiac arrhythmia. It is in the cardiac glycoside class of drugs. A client presents to the ED with wheezing and blood-tinged sputum. The nurse will need to educate the patient and notify the health care provider of the possible interaction. An 83 year Jun 26, 2024 · Study with Quizlet and memorize flashcards containing terms like What conclusion should the nurse draw when a client's digoxin level is reported to be 2. Route of administration C. 5 days ago · A. ) Hypoglycemia, Before giving oral digoxin (Lanoxin), the nurse discovers Pharmacology Chapter 10. Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like Which medication will enhance the negative inotropic effect of digoxin?, The nurse is teaching a group of nursing students about cardiac glycosides. V. The nurse receives an order for intravenous 5% dextrose and normal saline with 20 mEq/L potassium chloride to infuse at 125 mL/h. 6 mcg/kg/day given once daily. The digoxin vial is labeled 0. The nurse is caring for a patient who is receiving isotonic intravenous (IV) fluids at an infusion rate of 125 mL/hour. The nurse would particularly assess the client for: A. Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing a client's medication prescription that reads, "digoxin 0. place infant in a knee-chest position b. Serum sodium level of 140 mEq/L. The mother tells the nurse that her son is a "picky eater. 5 to 2. " -This statement, that the patient takes his or her verapamil with grapefruit juice, requires further nursing action because toxicity can result if verapamil is administered Study with Quizlet and memorize flashcards containing terms like A 5-year-old child is given fluoroquinolones. A therapeutic drug level has been achieved. resists having an axillary temperature taken. "You should expect your child to be upset when you leave. "I take my verapamil when I drink my morning grapefruit juice. avoid grapefruit and grapefruit juice. Which action will the nurse take? Hold the digoxin. Study with Quizlet and memorize flashcards containing terms like Which nursing intervention is important when caring for clients receiving intravenous(IV) digoxin? Select all that apply. ) Agranulocytosis B. Administer the dose over 1 minute. fluid The 96-year-old patient is receiving digoxin (Lanoxin) and furosemide (Lasix). The patient's electrolytes reveal a serum sodium level of 140 mEq/L and a serum potassium level of 3. What should the nurse explain about the rationale for this combination therapy?, A nurse counsels an infant's mother about drug dosage. When preparing to administer a dose, the nurse observes that the client's apical pulse rate is 55 bpm. Sinus tachycardia Study with Quizlet and memorize flashcards containing terms like A pediatric client has congestive heart failure and is receiving digoxin therapy. Administer potassium supplements as prescribed. Her husband states that she takes digoxin, Lasix, and nitroglycerin for chest pain. Lidocaine, when given by intramuscular injection, has an onset of action between 5 to 10 minutes and peaks in 5 to 15 minutes. Cardiac glycosides have played a prominent role in the therapy of congestive heart failure since William Withering codified their use in 1785. take an aspirin every day Jun 20, 2024 · Study with Quizlet and memorize flashcards containing terms like A patient is scheduled to receive digoxin 0. " a. A pediatric client and their family are being educated about the importance of adhering to the antibiotic regimen for the treatment of infective endocarditis. The nursing assessment reveals hypotension Jun 20, 2024 · A client with pulmonary edema has been receiving diuretic therapy. What are the priority nursing actions when administering Diuril (chlorothiazide) to a child diagnosed with congestive heart failure (CHF)? Monitor serum electrolytes and daily weight. Headache B. equaled urine output. What is the appropriate action to take? The nurse is caring for a client receiving digoxin. Suppression of dysrhythmias B. Which statement made by a nurse about digoxin indicates further teaching is necessary? "The half-life of digoxin is very short. The nurse would monitor this client for which of the following?, A physician has ordered lidocaine IV for a patient with a ventricular dysrhythmia. Limit foods high in vitamin K. The health care provider orders D5NS 400-mL to infuse in 8 Explanation: Heart failure is caused by the heart's inability to adequately pump blood throughout the body. Stop the session to review the rules with the group C. The nurse should suspect the cause of the pulmonary edema is most likely: left ventricular failure. Blood pressure is not affected by digoxin. Jun 26, 2024 · blood pressure. The client's current vital signs are: blood pressure 144/96, heart rate 54/min, respirations 18/min, and temperature 98. Mar 14, 2020 · Pediatric heart failure is a complex, clinical and pathophysiologic syndrome that encompasses a diverse population of patients with congenital heart disease (CHD), cardiomyopathy, infectious and inflammatory diseases, oncologic processes, metabolic syndromes, renal failure, and malnutrition ( 1, 2 ). (Enter a number only) 60. , What is the benefit of adding proton pump inhibitors (PPIs) to the treatment regime treating an H A) Measure the circumference of both upper arms. Digoxin improves the quality of life for patients with heart failure in the absence of atrial fibrillation. 120 beats per minute. c. If the child develops digoxin toxicity, the first sign the nurse might note would be Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse is providing an education program to a group of adolescents on the importance of testicular self-examinations. A nurse in a pediatric clinic is talking with the mother of a preschool-age child. The nurse should notify the provider and anticipate which of the following: 1. respiratory rate is above 40 breaths/min. net The nurse is caring for a patient who is receiving prescribed digoxin and diltiazem. 1. Give slow IV over 5 minutes. Which apical pulse rate indicates that the nurse should withhold the drug and report to the health care provider immediately?, A client has been prescribed disopyramide (Norpace) to treat a tachyarrhythmia. Without prescriptive authority, the nurse cannot change medication dosages. Which finding would require immediate attention by the nurse? 1 Vomiting and diarrhea 2 Heart rate of 68 beats/min 3 Digoxin level of 0. The nurse is caring for a group of older adult patients who are all receiving multiple medications. C. 2 mEq/L Apr 25, 2017 · Share this: Maintenance dosing in adults and pediatric patients over 10 years of age: 2. C) Remove the PICC line. Give the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is taking digoxin and a loop diuretic. Which of the following signs and symptoms would indicate that the patient's serum digoxin level needs to be evaluated? Jan 19, 2023 · Digoxin is a medication used to manage and treat heart failure and certain arrhythmias, and abortion. A nurse is preparing to us as a provider with the lumbar puncture for a school age child. 2 ng/mL?, Vasodilators used to treat heart failure include nitrates and ACE inhibitors. The nurse should instruct the Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like The patient is prescribed digoxin (lanoxin) for treatment of HF. ) Hyperkalemia D. Hemoglobin 14. The nurse is caring for a newly admitted patient who has severe gastroenteritis. Anorexia, nausea, and visual disturbances C. Monitor the serum potassium level. Which statement made by a nurse about digoxin indicates further teaching is necessary?, The health care provider is changing medications from digoxin to a newer medication for The nurse reviews lab studies of a client receiving digoxin (Lanoxin). Which of the following actions should the nurse take? Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with heart failure who is receiving digoxin (Lanoxin), and the serum digoxin (Lanoxin) level is found to be0. Which of the following clients should the nurse plan to monitor for signs of nephrotoxicity? A. As a rule, if the pulse rate of an infant or child is below 100 beats/minute, the medication is withheld and the physician is notified. The patient will be given sodium Jun 29, 2024 · A nurse is planning care for a group of clients. 25 mg PO daily for heart failure. Human B-type natriuretic peptide, nitrate, or furosemide also may be used, but these drugs are not the ones most commonly used. Which of the following client statements should the nurse identify as indicating effectiveness of the medication?, A nurse is collecting data from a client who is to start taking digoxin for heart failure. Serum digoxin level of 1. Which of the following action is a nurses priority. Study with Quizlet and memorize flashcards containing terms like Penicillin G and probenecid are prescribed for an adolescent who has syphilis. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient receiving digoxin. Check your pulse daily before taking the medication. In the morning, the patient complains of a headache and nausea. Intervention by the nurse is required if the results include which of the following laboratory Study with Quizlet and memorize flashcards containing terms like Question 1 of 3 The charge nurse is explaining to a group of nurses how toxicity with digoxin occurs. What should the nurse do first?, The client receiving Jun 20, 2024 · A nurse is caring for a client who's taking the anticoagulant warfarin (Coumadin). Which instruction regarding warfarin therapy should the nurse give to the client? Report incidents of diarrhea. Mar 23, 2024 · A nurse is monitoring the digoxin level for a client who has been taking a daily dose of digoxin for 1 month. The nurse would administer the drug over which time frame?, A group of nursing students are reviewing cardiotonic drugs. This is even more important if the child is also receiving digoxin because low serum potassium levels potentiate or increase the effect of the drug. Study with Quizlet and memorize flashcards containing terms like The charge nurse is explaining to a group of nurses how toxicity with digoxin occurs. 25 ng/mL. An increase in the client's digoxin dose. When the nurse enters the room with the morning medications, the patient states, "I am seeing a funny yellow color around the lights. What should be included regarding safety during warfarin (Coumadin) therapy? 1. Pediatric dose Use 0. The patient's current medications include digoxin and furosemide (Lasix). Knowing that the client will also be started on digoxin, which laboratory result should the nurse review as the priority? 1. D) Apply a cold pack to the client's upper arm. Arrange the order of the nursing interventions for this patient. Which potential adverse effect unique to pediatric clients should the nurse anticipate? 1. Irregular heart rate C. Request that another unit nurse assess the child. 100 beats per minute. The patient tells the nurse that she occasionally use herbals and other alternative therapies. Increased atrioventricular conduction C. A) Recombinant. 25 mg PO daily. 2. Several drugs have been ordered for the patient. A nurse is providing teaching to the parents of a preschooler who has HF and a new prescription for digoxin twice daily. Ans: B, D Feedback: A client with a heart condition controlled on digoxin (Lanoxin) and metoprolol (Toprol) must be monitored closely by the nurse for worsening atrial fibrillation if levothyroxine is initiated to treat hypothyroidism because levothyroxine can decrease the effectiveness of digoxin and beta blockers (metoprolol). 0 mEq/L. No change in the client's digoxin Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration. Diarrhea and hypotension D. A child with heart disease is receiving digoxin and a diuretic. The nurse would anticipate the client's digitalis level to be: A female client presents to the emergency department with nausea, vomiting, and a heart rate of 45 beats per minute. The nurse assesses the client receiving digoxin for an early sign of digoxin toxicity, which is a) 16-year-old child with a heart rate of 54 bpm c) 2-year-old child whose digoxin level was 2. The nursing instructor is discussing adverse effects of non-selective alpha-adrenergic blocking drugs. What is the recommended rate for continuous infusion A nursing instructor is preparing a teaching plan for a group of nursing students about macrolide antibacterial drugs. 5 days ago · a. pulse rate is below 100 beats/min. E. 4 ng/mL from a blood draw this morning e) 5-year-old child who developed vomiting and diarrhea, and is difficult to arouse The nurse should not administer digoxin to children with the following issues: The adolescent with an apical pulse under 60 the nurse is caring for a patient who is receiving digoxin and actazolamide therapy which action by the nurse is necessary to prevent adverse effects This problem has been solved! You'll get a detailed solution that helps you learn core concepts. Study with Quizlet and memorize flashcards containing terms like The health care provider orders quinidine for a client who is receiving digoxin. A White male, The nurse is caring for a patient with pulmonary edema. Digoxin level 3. " "The therapeutic range of digoxin A client experiences nausea and visual disturbances when taking digoxin (Lanoxin). Which condition indicates an excess dose of cardiac glycosides? [digoxin], What hypertensive/heart failure drug classes cause dizziness when standing up? and more. 5 mg. Allow the client to express themselves uninterrupted D. Which of the following actions should the nurse take? withhold the digoxin for decreased heart rate. Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about a newly prescribed drug. Jun 29, 2024 · A. apply oxygen at 2 L/min via Jun 20, 2024 · A nurse is caring for client who has a prescription for digoxin 0. Trendelenburg 3. Study with Quizlet and memorize flashcards containing terms like A female patient diagnosed with chronic atrial flutter has been prescribed verapamil in conjunction with digoxin to control ventricular rate. Which position is most beneficial?, An older adult patient is receiving digoxin (Lanoxin) daily. The patient has a history of cardiomyopathy. 125 mg po every other day? Select all that apply. The nurse would hold the dose of digoxin and notify the physician if the infant's apical pulse rate was: 80 beats per minute. First dose should be equal to 50% of the total dose and the subsequent two doses each 25% of initial loading dose, administered every 6-8 hours apart. If using a tuberculin syringe to measure a pediatric Diuretics cause diuresis (increased urine flow) by inhibiting sodium and water reabsorption from the kidney tubules. A 36 year old who is prescribed long-term steroid therapy b. The nurse would become concerned and notify the health care provider if the patient exhibited any of these symptoms. Astor guardian to verify the child's name. A Hispanic female 4. A 55 year old who recently received intravenous fluids c. 5 mEq/L. A patient is taking digoxin (Lanoxin) and a loop diuretic daily. the digoxin level is 0. Which assessment data alerts the nurse to a potential interaction? A. Laboratory results confirm digoxin toxicity. Which intervention would be appropriate in this patient? Withhold digoxin (Lanoxin). The nurse suspects the client is experiencing pulmonary edema. B. The infant is unable to raise his head when in a prone position. In the morning, the client reports having a headache and feeling nauseated. The medication is at a subtherapeutic drug level. Oral digoxin is ineffective for the treatment of heart failure. has multiple bruises on their knees. pulse rate is below 60 beats/min. Serum potassium level of 3. The nurse is preparing to administer digoxin to a patient with heart failure. A loading dose of Answer: Digoxin. 6 mEq/L, chloride 103 mEq/L, and glucose 106 Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient prescribed digoxin [Lanoxin] for heart failure. Notify health care professional if bradycardia or new arrhythmias occur. Medication dose D. 25 mg per intravenous injection once digoxin therapy resumes. In an infant, if the apical pulse rate is less than 90 beats per minute, the dose is held and the physician should be notified. Because hydrochlorothiazide can lower potassium levels, combined use of hydrochlorothiazide and digoxin poses a risk for elevated digoxin levels and ensuing digoxin toxicity The nurse caring for a patient taking furosemide [Lasix] is reviewing the patient's most recent laboratory results, which are: sodium, 136 mEq/L; potassium, 3. D. give PRN IV morphine sulfate 4 mg. One, some, or all responses may be correct. One criteria to hold a dose of digoxin is an apical pulse less than (___) beats per minutes. Assess the patient for symptoms of digoxin toxicity. An Hgb of 9. The amount available is digoxin 0. The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. which of the following actions should the nurse take? a. One of the participants asks the nurse, "when is the best time to do the examination?" What is the best response by the nurse?, A 13-year-old with anorexia nervosa is admitted to the facility for I. 3ng/mL. Digoxin's long half-life makes therapeutic serum levels difficult to obtain without loading. What will the nurse do first? A)Contact the patients physician immediately. Cartilage erosion 3. Jun 26, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is administering digoxin intravenously as ordered. D)Give her clear liquids and have her lie Dec 28, 2023 · Digoxin Dosage. B) Drugs given subcutaneously (SC) remain in the body longer in infants than in adults. Which client would be appropriate to assign to unlicensed assistive personnel? a) an 8-month-old with pneumonia who will be discharged today b) a 6-year-old with a femur fracture and a fever c) a 7-year-old transferred from the cardiac intensive care unit d) a 13-year-old adolescent with fluctuating vital signs and a new central line Jun 20, 2024 · Study with Quizlet and memorize flashcards containing terms like As part of treatment for early heart failure, a patient is started on an angiotensin-converting enzyme (ACE) inhibitor. 80 beats per minute. B)Check her laboratory values and vital signs. A nurse is caring for a 66-year-old female client who is receiving digoxin. Creatinine level 4 Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of heart failure and renal insufficiency. A nurse is assessing a client who has heart failure and is receiving digoxin. b. The therapeutic range for digoxin is 0. Which is the best rationale for this practice? A) The percentage of drug absorbed often is decreased in older adults. Which of the following findings should indicate to the nurse the client is expediting digoxin toxicity? A. Increase intake of green leafy vegetables The nurse is caring for a patient who is receiving digoxin and acetazolamide therapy. The nurse understands that it is essential to individualize each patient's therapy. Visual disturbances D. 125 mg PO. Which statement made by the client's caregivers demonstrates an understanding . Report a marked decline in pulse rate. Doses may be adjusted every 2 weeks according to clinical response, serum drug levels, and toxicity. A Black female 2. A nurse is caring for a client who has a prescription for digoxin 0. The students demonstrate understanding of the information when they identify which adverse reaction associated with cardiotonic medications?, The The nurse is caring for a 3-year-old girl who has a congenital heart anomaly. B) Macrolides are contraindicated in clients with renal dysfunction. Which client is at GREATEST risk for dehydration? a. 4. Take aspirin for pain relief. Monitor BP periodically in patients receiving IV digoxin. A decrease in the client's digoxin dose. The students demonstrate understanding of the information Pedi: Heart rate varies in children depending on age; ask health care professional to specify at what heart rates digoxin should be withheld. What is the appropriate action to take? Reduce the dose and contact the health care provider. 25 mg PO to the client instead of the prescribed dose of digoxin 0. Withhold the next dose of the diuretic. The pulmonary artery banding will help, but the defect will still need to be fixed. A client who is receiving digoxin for treatment of heart failure C. Which of the following would the instructor expect to include? Select all that apply. " What is the nurse's next action? a. No change in the client's digoxin A female client presents to the emergency department with nausea, vomiting, and a heart rate of 45 beats per minute. The apical pulse rate is 100 beats/min. The nurse would expect the health care provider to order what medication to treat the bradycardia? 5 days ago · Study with Quizlet and memorize flashcards containing terms like The nurse is reinforcing teaching for a patient who has had a mechanical valve replacement. Which laboratory value is most important to evaluate when preparing to administer the digoxin?, A toddler has been started on digoxin (Lanoxin) for cardiac failure. The nurse performs an assessment and notes a heart rate of 102 beats per minute, a blood pressure of 160/85 mm Hg, and crackles auscultated in both lungs. Give the dose and contact the health care provider. A 76 year old who is cognitively impaired D. Which patient is at highest risk for developing heart failure (HF)? 1. 25 by mouth every day. Omit the dose and contact the health care provider. Study with Quizlet and memorize flashcards containing terms like An ED patient presents with dyspnea, tachycardia, and chest pain. exhibits withdrawal behaviors when their parent leaves. 2 ng/dL. B) Notify the provider who inserted the PICC line. The client's current vital signs are: BP 144/96, heart rate 54/min, respirations 18/min, and temperature 37° C (98. A home care nurse is making a routine visit to a client receiving digoxin (Lanoxin) in the treatment of heart failure. therapy. 7 ng/mL 4 Potassium level of 3. This article outlines the indications, action, and contraindications for digoxin as a valuable agent in managing heart failure and certain arrhythmias. What physiological changes does the nurse recognize that could cause a geriatric client to have difficulty learning about prescribed medications?, The nurse is caring for an infant who is receiving I. 5 g/dL. 0. While reviewing the medical record of a patient who is receiving digoxin therapy, the nurse notes that the patient has atrial tachycardia and impaired renal function. An Asian male 3. ij zc kj hj yp gt ds eb lh ml