An older adult client is prescribed oral digoxin mg once daily. The unit's automated medication dispenser supplies digoxin in scored tablets of mg. Prior to administration, the practical nurse assesses the client's apical pulse and obtains a rate of beats per minute. Which action should the practical nurse take?
- Administer one-half of the scored tablet after verifying two client identifiers.Cevap
- BAdminister one whole tablet because the client's apical pulse is greater than beats per minute.
- CVerify the client's room number and administer one-half of the tablet to expedite morning care.
- DAsk the registered nurse to administer the dose because managing cardiac glycosides is outside the practical nurse scope.
Cevap
The practical nurse should administer one-half of the scored tablet after verifying two appropriate client identifiers.
The correct action combines accurate dosage calculation, appropriate assessment, and strict adherence to medication rights. The prescribed dose is mg, and the available tablet is mg. Calculating the dose () yields , meaning one-half of a scored tablet is required. An apical pulse of beats per minute is safely above the standard withholding threshold of beats per minute for digoxin, making it appropriate to administer. Finally, verifying two distinct client identifiers (such as name and date of birth) is a mandatory safety standard before giving any medication.
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Anahtar Kavram
Safe medication administration involves accurate dosage calculation, pre-administration physical assessment, and verifying two unique client identifiers.