Before administering digoxin or a related cardiac glycoside, the ...

[TVarnum]

Before administering digoxin or a related cardiac glycoside, the nurse should:
 
  a. palpate and count the radial pulse for 15 seconds and multiply by 4.
  b. check the client's previously recorded vital signs.
  c. check the client's capillary serum digoxin level.
  d. auscultate and count the apical pulse for 1 minute.

Question 2

The nurse is caring for a client with a history of bronchial asthma and understands that this client should not be given:
 
  a. disopyramide. c. dobutamine.
  b. amrinone. d. propranolol.

[GCabra]

Answer to Question 1

ANS: D

Feedback
A Incorrect: The apical pulse should be counted for one full minute.
B Incorrect: The apical pulse should be counted for one full minute immediately prior to administering the digoxin.
C Incorrect: Serum digoxin levels are venous draws and are not drawn before each digoxin administration usually.
D Correct: The apical pulse should be counted for one full minute.

Answer to Question 2

ANS: D

Feedback
A Incorrect: This is not contraindicated for clients with a history of bronchial asthma.
B Incorrect: This is not contraindicated for clients with a history of bronchial asthma.
C Incorrect: This is not contraindicated for clients with a history of bronchial asthma.
D Correct: Because propranolol can cause bronchoconstriction, it is contraindicated in clients with an asthma history.

[TVarnum]

Excellent

[Sarahjh]

Gracias!