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Practice Question

What should the nurse do if the apical pulse is 52 before giving digoxin (Lanoxin)?

Answer Choices:

Correct Answer:

Withhold the medication and notify the doctor

Rationale:

💓Digoxin slows heart rate by increasing vagal tone and cardiac contractility, and bradycardia is a sign of toxicity.

🩺If the apical pulse is below 60 bpm, the nurse must withhold the dose and notify the physician.

📉Further administration may cause dangerous cardiac effects, including heart block or asystole.

📋This step ensures safe medication administration and protects the client from adverse effects.

📌Core Message

If apical pulse <60 bpm, withhold digoxin and notify the physician to prevent bradycardia or toxicity.

Want to practice more questions like this?

This question is from NCLEX PN-Readiness Assessment Test-2 which contains 100 questions.

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From Exam
NCLEX PN-Readiness Assessment Test-2

100 Questions

View Full Exam
Question Details
  • Category: NCLEX PN
  • Subcategory: NCLEX PN-Readiness Assessment Tests
  • Domain: NCLEX PN-(Readiness Assessment Test)
  • Answer Choices: 4
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