# A client taking digoxin reports nausea and seeing yellow halos. The apical pulse is 48/min. Which action should the nurse take?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396585&lang=en  
> language: en  
> subject: Medication Administration  
> category: PPT

## Question

A client taking digoxin reports nausea and seeing yellow halos. The apical pulse is 48/min. Which action should the nurse take?

## Option

1. Give the dose because nausea is unrelated to digoxin.
2. Hold the medication and notify the provider. **✔ Correct answer**
3. Administer an extra dose to raise the pulse rate.
4. Encourage grapefruit juice to improve absorption.

**Correct answer: 2**

## Explanation

Nausea, visual changes, and bradycardia are concerning for digoxin toxicity. The nurse should hold the medication and notify the provider according to protocol. Giving additional digoxin or ignoring symptoms is unsafe.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Digoxin toxicity.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Digoxin toxicity, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Digoxin** — A cardiac glycoside used for selected heart failure or rhythm conditions.
- **Bradycardia** — A heart rate slower than expected for the clinical context.
- **Medication Toxicity** — Harmful effects caused by excessive medication level or sensitivity.

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