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?
1To maintain contraceptive protection, you should take an additional hormonal pill daily while on modafinil and continue for one month after stopping.✓ Correct answer
2Taking the oral contraceptive and modafinil at separate times of the day, with at least four hours between them, will prevent the interaction.
3There is no clinically significant interaction between modafinil and oral contraceptives, so you may continue your current regimen without any changes.
4Modafinil induces CYP3A4 and reduces contraceptive effectiveness; an additional or alternative non-hormonal method is recommended during and 1 month after therapy
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.
Memory Tip CYP3A4 inducers that reduce hormonal contraception: rifampin, modafinil, carbamazepine, phenytoin, topiramate >200 mg, St. John's wort. CPG Counsel about backup or non-hormonal methods at initiation.
Clinical scenario
Scenario 28-year-old female with narcolepsy starting modafinil 200 mg PO every morning. Currently on combined oral contraceptive. Asks about interactions.