« previous next »

Author Question: A patient states that he is seeing halos around lights. The patient takes digoxin (Lanoxin) by mouth ... (Read 67 times)

tatyanajohnson

  • Hero Member
  • *****
  • Posts: 569
on: Jul 23, 2018
A patient states that he is seeing halos around lights. The patient takes digoxin (Lanoxin) by mouth every day. The physician orders the patient to have serum digoxin level drawn.
 
  At what digoxin level would the care team first suspect that the patient is experiencing toxicity? A) 0.5 ng/mL
  B) 1.5 ng/mL
  C) 3.0 ng/mL
  D) 6.0 ng/mL

Question 2

A patient has a gastrostomy tube, and the pharmacy has delivered an extended-release tablet. What is the most appropriate action taken by the nurse?
 
  A) Administer the medication orally.
  B) Administer the medication through the tube.
  C) Crush the medication and administer half of it at a time.
  D) Call the pharmacy to obtain an immediate-release form.


mmj22343

  • Sr. Member
  • ****
  • Posts: 297
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Feedback:
The therapeutic serum digoxin level is 0.8 to 2.0 ng/mL.

Answer to Question 2

D
Feedback:
The most important nursing action is to call the pharmacy to determine whether a liquid or a nonextended-release tablet can be substituted. Extended-release tablets should never be crushedthe patient would be placed at risk for overdose or potentially serious adverse effects or death. If the patient has a gastrostomy tube, then he or she cannot swallow and cannot take the pill orally. The medication cannot be administered through the tube because it will obstruct the tube.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

tatyanajohnson

  • Hero Member
  • *****
  • Posts: 569
Reply #2 on: Jul 23, 2018
Thank you!


mmj22343

  • Sr. Member
  • ****
  • Posts: 297
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

Elderly adults are at greatest risk of stroke and myocardial infarction and have the most to gain from prophylaxis. Patients ages 60 to 80 years with blood pressures above 160/90 mm Hg should benefit from antihypertensive treatment.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

Blastomycosis is often misdiagnosed, resulting in tragic outcomes. It is caused by a fungus living in moist soil, in wooded areas of the United States and Canada. If inhaled, the fungus can cause mild breathing problems that may worsen and cause serious illness and even death.

Did you know?

The most dangerous mercury compound, dimethyl mercury, is so toxic that even a few microliters spilled on the skin can cause death. Mercury has been shown to accumulate in higher amounts in the following types of fish than other types: swordfish, shark, mackerel, tilefish, crab, and tuna.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

When the United States gets stuck over a controversial issue—usually something a divided Congress ca When the United States gets stuck over a controversial issue—usually something a divided Congress ca
Example of a patient’s ledger in practice management software. Example of a patient’s ledger in practice management software.
The medical assistant is measuring the urine output from a patient who has an indwelling Foley ... The medical assistant is measuring the urine output from a patient who has an indwelling Foley ...
Calipers being used to measure body fat on the triceps of a patient. Calipers being used to measure body fat on the triceps of a patient.
Patient Physical Status Classification Patient Physical Status Classification
Carbohydrates Are Digested in Your Mouth and Intestines Carbohydrates Are Digested in Your Mouth and Intestines
Video: What are Taste Receptors? How Does it Work? Animation

For a complete list of videos, visit our video library