Introduction
Introduction ( 7 Questions)
A client with heart failure is prescribed digoxin. Which of the following assessment findings would require immediate nursing intervention?
Correct. Digoxin is a cardiac glycoside, and hypokalemia increases the risk of digoxin toxicity. A serum potassium level of 3.2 mEq/L indicates hypokalemia and requires immediate nursing intervention. Hypokalemia can potentiate the effects of digoxin on cardiac conduction, leading to dysrhythmias.
Incorrect. A heart rate of 60 beats per minute is within the expected range for a client taking digoxin, as it is commonly used to control heart rate in certain cardiac conditions.
Incorrect. A systolic blood pressure of 100 mmHg may be within an acceptable range for a client with heart failure, depending on their baseline blood pressure and symptoms. It does not require immediate nursing intervention.
Incorrect. A digoxin level of 1.2 ng/mL is within the therapeutic range for digoxin. It does not require immediate nursing intervention.
A) Correct. Digoxin is a cardiac glycoside, and hypokalemia increases the risk of digoxin toxicity. A serum potassium level of 3.2 mEq/L indicates hypokalemia and requires immediate nursing intervention. Hypokalemia can potentiate the effects of digoxin on cardiac conduction, leading to dysrhythmias.
B) Incorrect. A heart rate of 60 beats per minute is within the expected range for a client taking digoxin, as it is commonly used to control heart rate in certain cardiac conditions.
C) Incorrect. A systolic blood pressure of 100 mmHg may be within an acceptable range for a client with heart failure, depending on their baseline blood pressure and symptoms. It does not require immediate nursing intervention.
D) Incorrect. A digoxin level of 1.2 ng/mL is within the therapeutic range for digoxin. It does not require immediate nursing intervention.