Examkin

Soru

Zorluk: ZorPharmacological Therapies

A practical nurse is preparing to administer scheduled morning medications, including oral digoxin and oral furosemide, to a client diagnosed with heart failure. Which of the following actions should the nurse perform? Select all that apply.

  1. Assess the client's apical pulse for 1 full minute prior to administering the digoxin.Cevap
  2. Withhold the digoxin and notify the registered nurse if the client reports new-onset nausea and blurred vision.Cevap
  3. Review the client's most recent serum potassium laboratory results before administering the furosemide.Cevap
  4. D
    Administer a prescribed intravenous push dose of furosemide if the client is unable to tolerate oral intake.
  5. E
    Verify the client's identity by confirming the room number and the name posted on the whiteboard above the bed.
  6. F
    Proceed with administering both medications if the client's most recent serum potassium level is 3.0 mEq/L3.0\text{ mEq/L} (3.0 mmol/L3.0\text{ mmol/L}).

Cevap

The nurse should assess the apical pulse for 1 full minute, withhold digoxin for signs of toxicity like nausea and blurred vision, and review serum potassium levels before administering furosemide.
The correct actions reflect essential safety protocols for a practical nurse administering high-risk medications. Digoxin requires checking the apical pulse for a full minute to ensure the heart rate is high enough to tolerate the medication. Because digoxin has a narrow therapeutic range, any signs of toxicity (like new-onset nausea or blurred vision) mandate withholding the drug and notifying the RN. Furthermore, because the client is taking furosemide (a potassium-depleting diuretic), the nurse must check the potassium level, as hypokalemia greatly increases the risk of digoxin toxicity.

Adım Adım Çözüm

1
Analyze the prescribed medications and their interactions.
Digoxin decreases heart rate and has a narrow therapeutic index. Furosemide causes potassium loss. Hypokalemia potentiates digoxin toxicity.
Understanding the pharmacology guides the necessary nursing assessments.
2
Identify the required pre-administration assessments for digoxin.
The apical pulse must be auscultated for a full minute, and the nurse must assess for signs of toxicity (GI and visual changes).
These assessments ensure it is safe to administer the cardiac glycoside.
3
Evaluate the practical nurse (PN) scope of practice regarding medication administration.
The PN can administer oral medications and monitor labs, but cannot administer IV push medications.
Adhering to the legal scope of practice prevents patient harm and professional liability.
4
Apply standard medication administration safety rights.
Two distinct identifiers (name, date of birth) must be used. Room numbers are invalid.
Proper identification prevents medication errors.

Anahtar Kavram

Safe administration of digoxin and furosemide requires meticulous monitoring of heart rate and potassium levels, recognizing signs of toxicity, and adhering to the practical nursing scope of practice.
Bu soruyu puanla

Konular

Pharmacological Therapies

Bu konudan daha fazla soru