A nurse is caring for a client prescribed Digoxin. Which nur… | MyMerci
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Medication AdministrationPPT
Question
A nurse is caring for a client prescribed Digoxin. Which nursing action is most appropriate regarding assessing apical pulse and withholding the dose if signs of toxicity occur?
1Hold the dose and contact the prescriber to clarify, because severe renal impairment (CrCl ✓ Correct answer
2For a patient with acute PE and a creatinine clearance of 22 mL/min, administer enoxaparin 0.5 mg/kg subcutaneously every 12 hours; this dose reduction accounts for the prolonged elimination half-life in renal impairment and maintains therapeutic anticoagulation.
3Administer the enoxaparin 1 mg/kg subcutaneously every 12 hours as prescribed; low-molecular-weight heparins rely on hepatic clearance and are not eliminated renally, so even with a creatinine clearance of 22 mL/min, the regimen is appropriate.
4Administer enoxaparin 1 mg/kg subcutaneously every 12 hours as prescribed; plan to obtain an anti-Xa level 4 hours after the third dose, because the patient's renal impairment may alter pharmacokinetics despite subcutaneous administration.
Explanation
When administering Digoxin, key nursing considerations include monitoring patient status, checking critical laboratory values, and providing appropriate safety education. Unsafe practices such as stopping medications abruptly or doubling missed doses are incorrect.