A nurse checks the serum digoxin level of a client and finds it ...

[ap345]

A nurse checks the serum digoxin level of a client and finds it to be increased. Which of the following would the nurse identify as possibly associated with this increase?
 
  A) Colestipol (Colestid)
  B) Verapamil (Calan)
  C) Clarithromycin (Biaxin)
  D) Calcium carbonate (Maalox)
  E) Spironolactone (Aldactone)

Question 2

The nurse should educate the client to avoid which of the following nonprescription medications without permission from the physician, as they can interfere with the action of cardiotonic drugs? Select all that apply.
 
  A) Antacids
  B) Antidiarrheals
  C) Topical arthritis treatments
  D) Artificial tear products
  E) Allergy products

[Kimmy]

Answer to Question 1

Ans: B, C, E
Feedback:
Increased serum digoxin levels can occur with verapamil, clarithromycin, and spironolactone. Antacids, such as calcium carbonate, and colestipol cause a decrease in serum digoxin levels.

Answer to Question 2

Ans: A, B, E
Feedback:
The nurse should teach the client to avoid antacids and nonprescription cough, cold, allergy, antidiarrheal, and diet drugs unless their use has been approved by the physician, as some of these drugs interfere with the action of cardiotonic drugs or cause other potentially serious problems.

[ap345]

TYSM

[Kedrick2014]

Thanks for the timely response, appreciate it