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Multiple Choice
What is the priority nursing assessment for a client who is about to begin digoxin therapy?
A
Evaluating the client's respiratory rate
B
Checking the client's body temperature
C
Monitoring the client's blood glucose levels
D
Assessing the client's heart rate and rhythm
Verified step by step guidance
1
Understand the purpose of digoxin therapy: Digoxin is a medication used to treat certain heart conditions, such as atrial fibrillation and heart failure. It works by affecting the sodium-potassium ATPase pump, which influences cardiac contractility and heart rate.
Recognize the primary effects of digoxin: The drug increases the force of heart contractions and slows down the heart rate. This makes it crucial to monitor the heart's function closely when starting therapy.
Identify the key assessment related to digoxin: Since digoxin directly affects heart rate and rhythm, the priority nursing assessment is to monitor these parameters. This helps in detecting any potential adverse effects, such as bradycardia (abnormally slow heart rate) or arrhythmias.
Consider the potential side effects: Digoxin can cause side effects like nausea, dizziness, and visual disturbances, but the most critical concern is its effect on the heart. Therefore, assessing heart rate and rhythm is essential to ensure patient safety.
Implement the assessment: Use a stethoscope to auscultate the apical pulse for one full minute to accurately assess the heart rate and rhythm before administering digoxin. This step is crucial to determine if the medication is safe to give, based on the patient's current heart rate.