Which of the following are the appropriate nursing actions before - ProProfs Discuss
Topics
Products
Follow Us:

Which of the following are the appropriate nursing actions before administering the digoxin? if A client with heart failure is complaining of nausea. The client has received IV furosemide (Lasix), and the urine output has been 2500 ml over the past 12 hours. The clients home drugs include metoprolol (Lopressor), digoxin (Lanoxin), furosemide, and multivitamins.
A. Administer an antiemetic prior to giving the digoxin
B. Encourage the client to increase fluid intake
C. Call the physician
D. Report the urine output
E. Report indications of nausea

Asked by Erin, Last updated: Jul 05, 2020

+ Answer
Request

4 Answers

John Adney

Why not B?
 

John Adney

If the patient lost that much fluid with urine output, could you explain exactly why you would not encourage fluid intake? Would it cause dilution hypokalemia then?
 

Eyeam

Wide qrs= hypokalemia
 

John Smith

John Smith

Answered Sep 11, 2016

Call the physician2. Report the urine output3. Report indications of nausea
Potassium is lost during diuresis with a loop diuretic such as furosemide (Lasix). Hypokalemia can cause digitalis toxicity, which often results in nausea. The physician should be notified, and digoxin should be held until potassium levels and digoxin levels are checked. Peaked T waves and widened QRS are manifestations of hyperkalemia.
 

Search for Google images
Select a recommended image
Upload from your computer
Search for Google images
Select a recommended image
Upload from your computer
Search for Google images
Select a recommended image
Upload from your computer

Email Sent
We have sent an email to your address "" with instructions to reset your password.