In which situation would the nurse hold digoxin?<\/p>\n\n\n\n
A.
When the lab reports a digoxin level 1.2 ng\/mL<\/p>\n\n\n\n
B.
When the client complains of seeing yellow-green halos<\/p>\n\n\n\n
C.
When the client is edematous<\/p>\n\n\n\n
D.
When the client is pacing and very thirsty<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is B. When the client complains of seeing yellow-green halos.<\/strong><\/p>\n\n\n\n Digoxin is a cardiac glycoside commonly used to treat conditions like heart failure and atrial fibrillation. It increases the force of heart contractions and helps to control heart rate. However, digoxin has a narrow therapeutic window, meaning the difference between a therapeutic dose and a toxic dose is small. Therefore, nurses must be vigilant for signs of toxicity.<\/p>\n\n\n\n One of the hallmark signs of digoxin toxicity is the presence of visual disturbances, such as seeing yellow-green halos around objects. This occurs due to the drug’s effects on the central nervous system and its impact on visual perception. If a patient reports seeing halos, it indicates potential digoxin toxicity, and the nurse should hold the medication and notify the healthcare provider for further assessment.<\/p>\n\n\n\n Let’s examine the other options:<\/p>\n\n\n\n A. When the lab reports a digoxin level 1.2 ng\/mL:<\/strong> This level is typically considered within the therapeutic range (0.5 to 2.0 ng\/mL) for most patients, particularly those on digoxin therapy for heart failure or atrial fibrillation. Therefore, this would not be a reason to hold the medication.<\/p>\n\n\n\n C. When the client is edematous:<\/strong> While edema can be a sign of heart failure, it does not indicate that digoxin should be held. In fact, digoxin may help improve the client\u2019s condition by enhancing cardiac output.<\/p>\n\n\n\n D. When the client is pacing and very thirsty:<\/strong> These symptoms could suggest a variety of issues, such as dehydration or anxiety, but they do not specifically indicate digoxin toxicity. Therefore, holding digoxin in this scenario would not be appropriate without further assessment.<\/p>\n\n\n\n In summary, a report of visual disturbances, particularly seeing yellow-green halos, is a critical sign of digoxin toxicity and necessitates immediate action from the nurse, including holding the medication and contacting the healthcare provider.<\/p>\n","protected":false},"excerpt":{"rendered":" In which situation would the nurse hold digoxin? A.When the lab reports a digoxin level 1.2 ng\/mL B.When the client complains of seeing yellow-green halos C.When the client is edematous D.When the client is pacing and very thirsty The Correct Answer and Explanation is: The correct answer is B. When the client complains of seeing […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-141316","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141316","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=141316"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141316\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=141316"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=141316"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=141316"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n