Signs and symptoms
Signs and symptoms ( 4 Questions)
A nurse is reviewing the medication administration record of a client who is receiving digoxin for heart failure. The nurse should identify that which of the following medications can increase the risk of digoxin toxicity in this client?
Furosemide: Furosemide, a loop diuretic, can cause electrolyte imbalances, but it does not directly increase the risk of digoxin toxicity.
Metoprolol: Metoprolol, a beta-blocker, does not have a significant interaction with digoxin that increases the risk of toxicity.
Lisinopril: Lisinopril, an angiotensin-converting enzyme (ACE) inhibitor, does not have a significant interaction with digoxin that increases the risk of toxicity.
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Verapamil: Verapamil, a calcium channel blocker, can increase digoxin levels by inhibiting its clearance. This interaction can lead to digoxin toxicity, which manifests as symptoms such as nausea, vomiting, visual disturbances, and cardiac arrhythmias.
Correct answer: D) Verapamil: Verapamil, a calcium channel blocker, can increase digoxin levels by inhibiting its clearance. This interaction can lead to digoxin toxicity, which manifests as symptoms such as nausea, vomiting, visual disturbances, and cardiac arrhythmias.
A) Furosemide: Furosemide, a loop diuretic, can cause electrolyte imbalances, but it does not directly increase the risk of digoxin toxicity.
B) Metoprolol: Metoprolol, a beta-blocker, does not have a significant interaction with digoxin that increases the risk of toxicity.
C) Lisinopril: Lisinopril, an angiotensin-converting enzyme (ACE) inhibitor, does not have a significant interaction with digoxin that increases the risk of toxicity.