Practice Question
The nurse is preparing to administer digoxin. The patient's vital signs are: blood pressure 118/64, apical 60, and respiratory rate 14. The patient denies visual changes and nausea. Which of the following actions is most appropriate?
Answer Choices:
Correct Answer:
Give the medication
Rationale:
💠Digoxin is administered if the apical pulse ≥ 60 bpm and the patient shows no signs of toxicity (e.g., nausea, vomiting, visual halos).
💠In this scenario, the apical pulse is 60, and the patient denies symptoms, so it is safe to administer as ordered.
💠Withholding would be indicated only if the heart rate is below 60 bpm or toxicity is suspected.
💠Continuous monitoring of electrolytes (especially K⁺) and renal function helps prevent toxic accumulation.
💠Patient teaching includes checking the apical pulse before each dose and reporting any rhythm changes or visual disturbances.
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This question is from Examplify Pharmacology Exam 2 Fall 2025 Section 02 which contains 60 questions.
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From Exam
Examplify Pharmacology Exam 2 Fall 2025 Section 02
60 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pharmacology
- Answer Choices: 4