Author Question: The client is being treated with digoxin. She tells the nurse that she frequently self-medicates her ... (Read 40 times)

rmenurse · **on:** Jul 23, 2018

The client is being treated with digoxin. She tells the nurse that she frequently self-medicates her depression with St. John's wort. What is the nurse's highest priority instruction to the client?

a. Take the St. John's wort; it will have no effect on the digoxin.
b. Do not take St. John's wort; it will cause a toxic reaction to the digoxin.
c. Do not take St. John's wort; it decreases the effectiveness of the digoxin.
d. Take the St. John's wort; it will enhance the effect of the digoxin.

Question 2

A client is ordered to receive digoxin (Lanoxin). Based on its half-life of 36 hours, the nurse will anticipate administering the maintenance dose:

a. once a day.
b. twice a day.
c. three times a day.
d. once a week.

ecabral0 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
St. John's wort decreases the absorption of digoxin and thus decreases serum digoxin level.

Answer to Question 2

ANS: A
With its half-life, digoxin will be administered daily.