Ivy Tech, Pharmocology
Ivy Tech, Pharmocology ( 41 Questions)
What is the priority assessment for a 54-year-old patient with heart failure who is receiving digoxin?
This statement is false. INR level is not a priority assessment for a patient receiving digoxin, as digoxin is not an anticoagulant. INR level is used to monitor the effects of warfarin, which is a different medication.
This statement is true. Apical heart rate is a priority assessment for a patient receiving digoxin, as digoxin can affect the cardiac rhythm and contractility. The nurse should check the apical heart rate for one full minute before administering digoxin, and hold the dose if the rate is below 60 beats per minute or above 100 beats per minute.
This statement is false. Blood pressure is not a priority assessment for a patient receiving digoxin, as digoxin does not have a significant effect on blood pressure. Blood pressure is more relevant for other medications used to treat heart failure, such as diuretics, angiotensin-converting enzyme inhibitors, or beta-blockers.
This statement is false. Temperature is not a priority assessment for a patient receiving digoxin, as digoxin does not cause fever or hypothermia. Temperature is more indicative of an infection or inflammation, which may worsen the condition of heart failure.
Choice A reason: This statement is false. INR level is not a priority assessment for a patient receiving digoxin, as digoxin is not an anticoagulant. INR level is used to monitor the effects of warfarin, which is a different medication.
Choice B reason: This statement is true. Apical heart rate is a priority assessment for a patient receiving digoxin, as digoxin can affect the cardiac rhythm and contractility. The nurse should check the apical heart rate for one full minute before administering digoxin, and hold the dose if the rate is below 60 beats per minute or above 100 beats per minute.
Choice C reason: This statement is false. Blood pressure is not a priority assessment for a patient receiving digoxin, as digoxin does not have a significant effect on blood pressure. Blood pressure is more relevant for other medications used to treat heart failure, such as diuretics, angiotensin-converting enzyme inhibitors, or beta-blockers.
Choice D reason: This statement is false. Temperature is not a priority assessment for a patient receiving digoxin, as digoxin does not cause fever or hypothermia. Temperature is more indicative of an infection or inflammation, which may worsen the condition of heart failure.