# 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?

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> subject: NCLEX-RN  
> category: PPT

## 題目

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?

## 選項

1. Monitor vital signs and assess laboratory values prior to administration. **✔ 正確答案**
2. Administer the medication with a full glass of water every morning.
3. Instruct the client to report any unexpected side effects immediately.
4. Verify the prescription details with the healthcare provider.

**正確答案: 1**

## 解析

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.

## 深入解析

1. Scenario: Patient taking Heparin.
2. Recognize Cues: Evaluate aPTT 모니터링 및 Protamine Sulfate 길항제 준비.
3. Take Action: Ensure safe administration protocols.
4. Evaluate: Re-assess therapeutic response.

## 重要概念

- **Heparin (헤파린)** — 주사형 항응고제로 과도한 연장 시 프로타민 황산염을 투여해요.

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