The client is being treated with digoxin. She tells the nurse ...

[rmenurse]

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]

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.

[rmenurse]

Thanks for the timely response, appreciate it

[kishoreddi]

Gracias!