A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3 mEq/L
and is complaining of anorexia. A physician prescribes a digoxin level to rule out digoxin
toxicity. A nurse checks the results, knowing that which of the following is the
therapeutic serum level (range) for digoxin?
o 1.2 to 2.8 ng/mL
o 0.5 to 1.5 ng/mL
o 3.5 to 5.5 ng/mL
o 3 to 5 ng/mL - answer0.5 to 1.5 ng/mL
The nurse should question an order for metoprolol (Lopressor) when it is prescribed for
a client with:
o Sinus Bradycardia
o Angina pectoris
o Hypertension
o Myocardial Infarction - answerSinus Bradycardia
What should the nurse include in a teaching plan aimed at reducing the side effects
associated with taking calcium channel blockers such as diltiazem (Cardizem)?
o Lie down after meals
o Change positions slowly
o Avoid dairy products in diet
o Take the drug with an antacid - answerChange positions slowly
Which points should the nurse plan to include when teaching a client receiving a
thiazide diuretic? (Select all that apply)
o Take the radial pulse before preparing the medication.
o Keep appointments for laboratory monitoring, including serum electrolytes, glucose,
creatinine, blood urea nitrogen (BUN), and uric acid levels.
o Include fruits such as melons and bananas in the diet.
o Minimize intake of high-fat foods. - answero Keep appointments for laboratory
monitoring, including serum electrolytes, glucose, creatinine, blood urea nitrogen (BUN),
and uric acid levels.
o Include fruits such as melons and bananas in the diet
o Minimize intake of high-fat foods.
When administering an intravenous titirated drip of lidocaine HCL to a client, a serious
side effect that must be reported to the physician immediately is:
o Anorexia
o Hypertension
o Paresthesias
o Tachycardia - answerParesthesias