The nurse is caring for an 82-year-old patient who takes digoxin ...

[michelleunicorn]

The nurse is caring for an 82-year-old patient who takes digoxin to treat chronic atrial fibrillation. When caring for this patient, to monitor for drug side effects, what will the nurse will carefully assess?
 
  a. Blood pressure
  b. Heart rate
  c. Oxygen saturation
  d. Respiratory rate

Question 2

A 75-year-old patient will be discharged home with a prescription for an opioid analgesic. To help the patient minimize adverse effects, what will the nurse recommend for this patient?
 
  a. Sucking on lozenges to moisten oral mucosa
  b. Taking an antacid with each dose
  c. Taking the medication on an empty stomach
  d. Using a stool softener

[fauacakatahaias]

Answer to Question 1

ANS: B
Most of digoxin is eliminated by the kidneys, so a decline in kidney function can cause digoxin accumulation, which can cause bradycardia. Digoxin should not be given to any patient with a pulse less than 60 beats per minute.

Answer to Question 2

ANS: D
Opioid analgesics can cause constipation. Stool softeners can help minimize this effect. Opioids do not cause dry mouth. Drug absorption may be decreased with an antacid. Opioid analgesics should be taken with food or milk to decrease gastrointestinal irritation.

[michelleunicorn]

Gracias!

[vickybb89]

TYSM