Author Question: A patient states that he is seeing halos around lights. The patient takes digoxin (Lanoxin) by mouth ... (Read 72 times)

tatyanajohnson

  • Hero Member
  • *****
  • Posts: 569
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
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


 

Did you know?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

For a complete list of videos, visit our video library