A patient taking digoxin reports nausea, loss of appetite and yellow-green visual halos. The pulse is 54 beats per minute. Which action should the nurse take?
Correct answer: B. Hold digoxin and notify the healthcare provider
- A. Give the dose and reassess the pulse after one hour
- B. Hold digoxin and notify the healthcare provider
- C. Give an extra dose to improve cardiac contractility
- D. Administer nitroglycerin for the visual disturbance
Explanation
Gastrointestinal symptoms, visual changes and bradycardia suggest digoxin toxicity. The nurse should withhold the drug and report the findings; giving more digoxin could worsen dysrhythmia and toxicity.
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About Cardiovascular Nursing
Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.
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