NCLEX-PN Practice Q 62

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Before administering a client’s morning dose of Lanoxin (digoxin), the nurse checks the apical pulse rate and finds a rate of 52. The appropriate nursing intervention is to:

  

     A. Record the pulse rate and administer the medication

     B. Administer the medication and monitor the heart rate

     C. Withhold the medication and notify the doctor

     D. Withhold the medication until the heart rate increases

    

    

Correct Answer: C. Withhold the medication and notify the doctor

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Option C: Digoxin may further slow the heart rate therefore the medication should be withheld and the doctor should be notified.

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Options A, B, and D: They do not provide for the client’s safety.

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