« previous next »

Author Question: Mrs. Barnes has consistently had a pulse of 78 and regular. Today on rounds, her pulse is 66 and ... (Read 54 times)

Sportsfan2111

  • Hero Member
  • *****
  • Posts: 585
on: Jul 11, 2018
Mrs. Barnes has consistently had a pulse of 78 and regular. Today on rounds, her pulse is 66 and irregular. You will
 
  a. Do an apical pulse for 1 full minute
  b. Withhold the medication and call the physi-cian or charge nurse
  c. Administer the medication and plan on re-checking in 1 hour
  d. Both A and B

Question 2

Mrs. Barnes is no longer able to swallow pills. The pharmacy has converted all her medications to liquid form. The dosage for her digoxin is now
 
  a. Decreased
  b. Increased
  c. The same
  d. Subject to fluctuations


TDubDCFL

  • Sr. Member
  • ****
  • Posts: 357
Reply #1 on: Jul 11, 2018
Answer to Question 1

D
A sudden change in rate or rhythm should be reported to the physician. As a responsible LPN, you should suspect digitoxicity and withhold the medication until speaking with the physician.

Answer to Question 2

A
Absorption levels increase with the change from pill to elixir. Therefore, a decreased dosage is used to prevent digoxin toxicity. Answers B, C, and D are incorrect.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Did you know?

There are 20 feet of blood vessels in each square inch of human skin.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Pulse check with paitent's forearm at side Pulse check with paitent's forearm at side
Palpation of posterior tibial pulse Palpation of posterior tibial pulse
Posterior tibial pulse. Posterior tibial pulse.
The injector on-time is called the pulse width. The injector on-time is called the pulse width.
Body sites where the peripheral pulse is most easily palpated Body sites where the peripheral pulse is most easily palpated
Palpating the brachial pulse Palpating the brachial pulse
Video: Arthroscopy

For a complete list of videos, visit our video library